SHOPKO PHARMACY 081
NPI 1518907948
Pharmacy - Community/Retail Pharmacy in Yakima, WA

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

The NPI number for Shopko Stores Operating Co LLC is 1518907948. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Shopko Pharmacy 081.

Q: 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.

Active since June 07, 2006

5801 SUMMITVIEW AVE, YAKIMA, WA 98908(509) 965-6393(509) 965-5966 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shopko Pharmacy 081 NPPES

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

SHOPKO PHARMACY 081 (NPI 1518907948) is a healthcare organization registered as a community/retail pharmacy in Yakima, Washington 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

NPI1518907948

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address5801 SUMMITVIEW AVEYakima, WA 98908-3006

Mailing Address5801 Summitview AveYakima, WA 98908-3006 · (509) 965-6393 · Fax (509) 965-5966

Phone(509) 965-6393

Fax(509) 965-5966

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateJune 7, 2006

Last NPPES UpdateAugust 14, 2008

✔ NPI 1518907948 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 WA · CF00058641

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

5801 SUMMITVIEW AVE, Yakima, WA 98908

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Other Names 1

Doing Business AsShopko Pharmacy 081

Other Identifiers 6

Other0006499Wa Labor & Industry

Other4919203Ncpdp Number

Medicare ID-Type Unspecified1111590023

Other0215796Wa Labor & Industry

Medicare NSC5695760075

Medicaid0006016455WA

Other Providers at the Same Location NPPES 5

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

MR. KENNETH KARL ANTLES R.PH.

Pharmacist