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SHOPKO PHARMACY 133
NPI 1487680443
Pharmacy - Community/Retail Pharmacy in Belvidere, IL

Active since June 23, 2006
1400 BIG THUNDER BLVD, BELVIDERE, IL 61008(815) 547-3440(815) 547-8812 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 133 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO PHARMACY 133 (NPI 1487680443) is a healthcare organization registered as a community/retail pharmacy in Belvidere, Illinois and active in the NPI registry since June 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1487680443
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1400 BIG THUNDER BLVDBelvidere, IL 61008-1726
Mailing Address1400 Big Thunder BlvdBelvidere, IL 61008-1726 · (815) 547-3440 · Fax (815) 547-8812
Phone(815) 547-3440
Fax(815) 547-8812
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1487680443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 054015891
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1400 BIG THUNDER BLVD, Belvidere, IL 61008
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Other Names 1

Doing Business AsShopko Pharmacy 133

Other Identifiers 5

Medicaid=========011IL
Other1466223Ncpdp Number
Medicaid410985054002IL
Medicare NSC5695760137
Medicare ID-Type Unspecified0154160232

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1400 BIG THUNDER BLVD
BELVIDERE, IL 61008
Boone County (815) 547-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1487680443. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is doing business as Shopko Pharmacy 133.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1400 Big Thunder Blvd, Belvidere, IL 61008. The listed phone number is (815) 547-3440.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.