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SHOPKO PHARMACY 790
NPI 1578811675
Pharmacy - Community/Retail Pharmacy in Stanley, WI

Active since August 21, 2012
409 JUNCTION AVE, STANLEY, WI 54768(715) 644-6168(715) 644-5956 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 790 NPPES

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

SHOPKO PHARMACY 790 (NPI 1578811675) is a healthcare organization registered as a community/retail pharmacy in Stanley, Wisconsin and active in the NPI registry since August 2012. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1578811675
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address409 JUNCTION AVEStanley, WI 54768-8011
Mailing Address409 Junction AveStanley, WI 54768-8011
Phone(715) 644-6168
Fax(715) 644-5956
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateAugust 21, 2012
Last NPPES UpdateJanuary 25, 2013
✔ NPI 1578811675 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
409 JUNCTION AVE, Stanley, WI 54768
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Other Names 1

Doing Business AsShopko Pharmacy 790

Other Identifiers 1

Medicare NSC5695760266

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 1578811675. It was assigned to this organization in the NPPES registry on August 21, 2012. The provider is doing business as Shopko Pharmacy 790.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 409 Junction Ave, Stanley, WI 54768. The listed phone number is (715) 644-6168.

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 January 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.