SHOPKO PHARMACY 756
NPI 1588818702
Pharmacy - Community/Retail Pharmacy in Lander, WY

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

The NPI number for Shopko Stores Operating Co LLC is 1588818702. It was assigned to this organization in the NPPES registry on November 14, 2008. The provider is doing business as Shopko Pharmacy 756.

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.

Active since November 14, 2008

1255 WEST MAIN STREET, LANDER, WY 82520(307) 332-5712(307) 332-5722 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Shopko Pharmacy 756 NPPES

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

SHOPKO PHARMACY 756 (NPI 1588818702) is a healthcare organization registered as a community/retail pharmacy in Lander, Wyoming and active in the NPI registry since November 2008. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1588818702

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address1255 WEST MAIN STREETLander, WY 82520-2653

Mailing AddressPo Box 1007Lander, WY 82520-1007 · (307) 332-5712 · Fax (307) 332-5722

Phone(307) 332-5712

Fax(307) 332-5722

Organization SubpartNo

Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297

Enumeration DateNovember 14, 2008

Last NPPES UpdateDecember 18, 2012

✔ NPI 1588818702 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

1255 WEST MAIN STREET, Lander, WY 82520

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Other Names 1

Doing Business AsShopko Pharmacy 756

Other Identifiers 4

Other5204196WY · Ncpdp

OtherR10051WY · License Number

Medicaid1588818702WY

Medicare NSC5695760250

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 1588818702. It was assigned to this organization in the NPPES registry on November 14, 2008. The provider is doing business as Shopko Pharmacy 756.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1255 West Main Street, Lander, WY 82520. The listed phone number is (307) 332-5712.

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 December 18, 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.