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SHOPKO PHARMACY 747
NPI 1538112644
Pharmacy - Community/Retail Pharmacy in Luverne, MN

Active since May 18, 2006
405 W INTERSTATE DR, LUVERNE, MN 56156(507) 283-2156(507) 283-2168 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 747 NPPES

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

SHOPKO PHARMACY 747 (NPI 1538112644) is a healthcare organization registered as a community/retail pharmacy in Luverne, Minnesota 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

NPI1538112644
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address405 W INTERSTATE DRLuverne, MN 56156-2266
Mailing Address405 W Interstate DrLuverne, MN 56156-2266 · (507) 283-2156 · Fax (507) 283-2168
Phone(507) 283-2156
Fax(507) 283-2168
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 1, 2012
✔ NPI 1538112644 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
405 W INTERSTATE DR, Luverne, MN 56156
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Other Names 1

Doing Business AsShopko Pharmacy 747

Other Identifiers 9

Medicare NSC5695760203
Medicaid117475000MN
Medicaid8530530SD
Medicaid9167850SD
Other2422258Ncpdp
Medicaid0545160IA
Medicaid0722538IA
Medicaid546523100MN
Medicaid8530532SD

Other Providers at the Same Location NPPES

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

DEBBIE A BOLTJES RPH
Pharmacist
405 W INTERSTATE DR
LUVERNE, MN 56156
Rock County (507) 283-2156

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 1538112644. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Pharmacy 747.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 405 W Interstate Dr, Luverne, MN 56156. The listed phone number is (507) 283-2156.

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 October 1, 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.