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SHOPKO PHARMACY 758
NPI 1568401537
Pharmacy - Community/Retail Pharmacy in Douglas, WY

Active since June 05, 2006
1950 E RICHARDS ST, DOUGLAS, WY 82633(307) 358-3386(307) 358-3416 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 758 NPPES

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

SHOPKO PHARMACY 758 (NPI 1568401537) is a healthcare organization registered as a community/retail pharmacy in Douglas, 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

NPI1568401537
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1950 E RICHARDS STDouglas, WY 82633-3049
Mailing Address1950 E Richards StDouglas, WY 82633-3049 · (307) 358-3386 · Fax (307) 358-3416
Phone(307) 358-3386
Fax(307) 358-3416
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 25, 2012
✔ NPI 1568401537 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
1950 E RICHARDS ST, Douglas, WY 82633
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Other Names 1

Doing Business AsShopko Pharmacy 758

Other Identifiers 5

Medicaid123287801WY
Other5203790Ncpdp
Medicaid123287800WY
Medicare NSC5695760236
Medicaid117791500WY

Other Providers at the Same Location NPPES

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

DR. WILLIAM ROWDEN
Pharmacist
1950 E RICHARDS ST
DOUGLAS, WY 82633
Converse County (307) 358-3386

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 1568401537. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Shopko Pharmacy 758.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1950 E Richards St, Douglas, WY 82633. The listed phone number is (307) 358-3386.

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 25, 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.