1. Home
  2. Directory
  3. Missouri
  4. Palmyra
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PAMIDA PHARMACY 866
NPI 1598950214
Durable Medical Equipment & Medical Supplies in Palmyra, MO

Active since September 06, 2007
502 E ROSS ST, PALMYRA, MO 63461(573) 769-1115(573) 769-1116 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pamida Pharmacy 866 NPPES

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

PAMIDA PHARMACY 866 (NPI 1598950214) is a healthcare organization registered as a durable medical equipment & medical supplies in Palmyra, Missouri and active in the NPI registry since September 2007. The organization lists Mike Bettiga, Excutive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1598950214
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address502 E ROSS STPalmyra, MO 63461-1739
Mailing Address502 E Ross StPalmyra, MO 63461-1739 · (573) 769-1115 · Fax (573) 769-1116
Phone(573) 769-1115
Fax(573) 769-1116
Organization SubpartNo
Authorized OfficialMike BettigaExcutive Vice President & Coo · (920) 429-4297
Enumeration DateSeptember 6, 2007
Last NPPES UpdateMay 23, 2012
✔ NPI 1598950214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
502 E ROSS ST, Palmyra, MO 63461
Open in Google Maps ↗

Other Names 1

Doing Business AsPamida Pharmacy 866

Other Identifiers 3

Medicare PIN5694490050
Other2635223Ncpdp
Medicare PIN0459230122

Other Providers at the Same Location NPPES

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
502 E ROSS ST
PALMYRA, MO 63461
Marion County (573) 769-1115

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 1598950214. It was assigned to this organization in the NPPES registry on September 6, 2007. The provider is doing business as Pamida Pharmacy 866.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 502 E Ross St, Palmyra, MO 63461. The listed phone number is (573) 769-1115.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.