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SHOPKO PHARMACY 718
NPI 1508819384
Pharmacy - Community/Retail Pharmacy in Liberty, KY

Active since May 19, 2006
671 WOLFORD AVE, LIBERTY, KY 42539(606) 787-4236(606) 787-4237 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 718 NPPES

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

SHOPKO PHARMACY 718 (NPI 1508819384) is a healthcare organization registered as a community/retail pharmacy in Liberty, Kentucky and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1508819384
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address671 WOLFORD AVELiberty, KY 42539
Mailing Address671 Wolford AveLiberty, KY 42539 · (606) 787-4236 · Fax (606) 787-4237
Phone(606) 787-4236
Fax(606) 787-4237
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 1, 2013
✔ NPI 1508819384 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
671 WOLFORD AVE, Liberty, KY 42539
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Other Names 1

Doing Business AsShopko Pharmacy 718

Other Identifiers 4

Medicaid90006115KY
Medicaid5401257000KY
Medicare NSC5695760286
Other1827584Ncpdp Number

Other Providers at the Same Location NPPES

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

PHYLLIS REYNOLDS SPURLIN R,PH.
Pharmacist
671 WOLFORD AVE
LIBERTY, KY 42539
Casey County (606) 787-4236

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 1508819384. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 718.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 671 Wolford Ave, Liberty, KY 42539. The listed phone number is (606) 787-4236.

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 March 1, 2013. 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.