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SHOPKO PHARMACY 062
NPI 1508819376
Pharmacy - Community/Retail Pharmacy in Great Falls, MT

Active since May 19, 2006
301 NORTHWEST BYP, GREAT FALLS, MT 59404(406) 727-9682(406) 727-9716 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 062 NPPES

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

SHOPKO PHARMACY 062 (NPI 1508819376) is a healthcare organization registered as a community/retail pharmacy in Great Falls, Montana and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1508819376
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address301 NORTHWEST BYPGreat Falls, MT 59404-4125
Mailing Address301 Northwest BypGreat Falls, MT 59404-4125 · (406) 727-9682 · Fax (406) 727-9716
Phone(406) 727-9682
Fax(406) 727-9716
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 21, 2015
✔ NPI 1508819376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MT · 1200
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 ListedEyewear SupplierTaxonomy 332H00000X
301 NORTHWEST BYP, Great Falls, MT 59404
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Other Names 1

Doing Business AsShopko Pharmacy 062

Other Identifiers 7

Medicaid0230486MT
Medicaid5607875MT
Medicaid0211315MT
Medicare PIN011002736MT
Medicare ID-Type Unspecified1111590030
Medicare NSC5695760121
Other2704218Ncpdp Number

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.

COLLEEN JOHNSON RPH
Pharmacist
301 NORTHWEST BYP
GREAT FALLS, MT 59404
Cascade County (406) 727-9682
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
301 NORTHWEST BYP
GREAT FALLS, MT 59404
Cascade County (406) 727-9724

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 1508819376. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 062.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 301 Northwest Byp, Great Falls, MT 59404. The listed phone number is (406) 727-9682.

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 December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.