SHOPKO PHARMACY 511
NPI 1598719742
Pharmacy - Community/Retail Pharmacy in Ladysmith, WI

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

The NPI number for Shopko Stores Operating Co LLC is 1598719742. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Shopko Pharmacy 511.

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 May 20, 2006

400 W 9TH ST N, LADYSMITH, WI 54848(715) 532-6440(715) 532-6585 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shopko Pharmacy 511 NPPES

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

SHOPKO PHARMACY 511 (NPI 1598719742) is a healthcare organization registered as a community/retail pharmacy in Ladysmith, Wisconsin 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

NPI1598719742

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address400 W 9TH ST NLadysmith, WI 54848-1249

Mailing Address400 W 9th St NLadysmith, WI 54848-1249 · (715) 532-6440 · Fax (715) 532-6585

Phone(715) 532-6440

Fax(715) 532-6585

Organization SubpartNo

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

Enumeration DateMay 20, 2006

Last NPPES UpdateNovember 19, 2012

✔ NPI 1598719742 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

400 W 9TH ST N, Ladysmith, WI 54848

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Other Names 1

Doing Business AsShopko Pharmacy 511

Other Identifiers 4

Other5119830Ncpdp Number

Medicare ID-Type Unspecified5694490045

Medicare ID-Type Unspecified0459230024

Medicaid33166600WI

Other Providers at the Same Location NPPES 6

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

ORTHOPEDIC & SPINE THERAPY OF LADYSMITH SC

Physical Therapist