SHOPKO PHARMACY 767
NPI 1568401453
Pharmacy - Community/Retail Pharmacy in Worland, WY

Active since June 06, 2006
100 S 20TH ST, WORLAND, WY 82401(307) 347-2851(307) 347-2651 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 767 NPPES

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

SHOPKO PHARMACY 767 (NPI 1568401453) is a healthcare organization registered as a community/retail pharmacy in Worland, Wyoming and active in the NPI registry since June 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1568401453
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address100 S 20TH STWorland, WY 82401-3742
Mailing Address100 S 20th StWorland, WY 82401-3742 · (307) 347-2851 · Fax (307) 347-2651
Fax(307) 347-2651
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 18, 2012
NPI 1568401453 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
100 S 20TH ST, Worland, WY 82401

Other Names 1

Doing Business AsShopko Pharmacy 767

Other Identifiers 5

Other5203257Ncpdp
Medicaid123290800WY
Medicaid123290801WY
Medicaid112698900WY
Medicare NSC5695760224

Other Providers at the Same Location NPPES 3

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

Pharmacist
100 S 20TH ST
WORLAND, WY 82401
Pharmacy (Community/Retail Pharmacy)
100 S 20TH ST
WORLAND, WY 82401
Pharmacist
100 S 20TH ST
WORLAND, WY 82401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568401453, enumerated as an "organization" on June 06, 2006.

The provider is located at 100 S 20TH ST WORLAND, WY 82401 and the phone number is (307) 347-2851.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.