SHOPKO PHARMACY 009 - NPI 1528013133 - Pharmacy in Marshfield, WI

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

The NPI number for Shopko Stores Operating Co LLC is 1528013133. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Shopko Pharmacy 009.

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.

On this page

About Shopko Pharmacy 009 NPPES

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

SHOPKO PHARMACY 009 (NPI 1528013133) is a healthcare organization registered as a community/retail pharmacy in Marshfield, Wisconsin 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

NPI1528013133

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address1306 N CENTRAL AVEMarshfield, WI 54449-1507

Mailing Address1306 N Central AveMarshfield, WI 54449-1507 · (715) 387-3705 · Fax (715) 384-2007

Phone(715) 387-3705

Fax(715) 384-2007

Organization SubpartNo

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

Enumeration DateMay 23, 2006

Last NPPES UpdateJuly 25, 2014

✔ NPI 1528013133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WI · 8619042

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

Also ListedPharmacyTaxonomy 333600000X

1306 N CENTRAL AVE, Marshfield, WI 54449

Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 009

Other Identifiers 4

Medicare NSC5695760003

Medicare ID-Type Unspecified0154160066

Other5107140Ncpdp Number

Medicaid33134400WI

Other Providers at the Same Location NPPES 7

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

KEITH KOSCIELSKI RPH.

Pharmacist