1. Home
  2. Directory
  3. Wyoming
  4. Newcastle
  5. Pharmacy
  6. NPI Profile

SHOPKO PHARMACY 761
NPI 1497794374
Pharmacy - Community/Retail Pharmacy in Newcastle, WY

Active since June 06, 2006
205 BOYD AVE, NEWCASTLE, WY 82701(307) 746-2741(307) 746-9405 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 761 NPPES

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

SHOPKO PHARMACY 761 (NPI 1497794374) is a healthcare organization registered as a community/retail pharmacy in Newcastle, Wyoming and active in the NPI registry since June 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1497794374
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address205 BOYD AVENewcastle, WY 82701-2965
Mailing Address205 Boyd AveNewcastle, WY 82701-2965 · (307) 746-2741 · Fax (307) 746-9405
Phone(307) 746-2741
Fax(307) 746-9405
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 2, 2012
✔ NPI 1497794374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
Also ListedPharmacyTaxonomy 333600000X
205 BOYD AVE, Newcastle, WY 82701
Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 761

Other Identifiers 6

Medicaid123288601WY
Medicaid102724700WY
Medicare NSC5695760240
Medicaid123288600WY
Other5202572Ncpdp
Medicaid8530192SD

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL DEAN COOKSTON PHARMD, R.PH
Pharmacist
205 BOYD AVE
NEWCASTLE, WY 82701
Weston County (307) 746-2741
SARA BUTTS
Pharmacist
205 BOYD AVE
NEWCASTLE, WY 82701
Weston County (307) 746-2741

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 1497794374. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Shopko Pharmacy 761.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 205 Boyd Ave, Newcastle, WY 82701. The listed phone number is (307) 746-2741.

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 November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.