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SHOPKO PHARMACY 096
NPI 1659316107
Pharmacy - Community/Retail Pharmacy in Redding, CA

Active since June 18, 2006
55 LAKE BLVD, REDDING, CA 96003(530) 241-0713(530) 241-1447 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 096 NPPES

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

SHOPKO PHARMACY 096 (NPI 1659316107) is a healthcare organization registered as a community/retail pharmacy in Redding, California and active in the NPI registry since June 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1659316107
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address55 LAKE BLVDRedding, CA 96003-2500
Mailing Address55 Lake BlvdRedding, CA 96003-2500 · (530) 241-0713 · Fax (530) 241-1447
Phone(530) 241-0713
Fax(530) 241-1447
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJune 18, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1659316107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY47484
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.
55 LAKE BLVD, Redding, CA 96003
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Other Names 1

Doing Business AsShopko Pharmacy 096

Other Identifiers 8

Other0598194Ncpdp Number
MedicaidQN4PHA474840CA
Medicare ID-Type Unspecified0154160117
Medicaid1ZXPHA358300CA
MedicaidMFGPHA376480CA
MedicaidPHA474840CA
MedicaidPHA376480CA
Medicare NSC5695760129

Other Providers at the Same Location NPPES 2

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

SCOTT R ROSSOW RPH
Pharmacist
55 LAKE BLVD, SHOPKO PHARMACY 096
REDDING, CA 96003
Shasta County (530) 241-0713
LORI LEE AARON CPHT
Pharmacy Technician
55 LAKE BLVD
REDDING, CA 96003
Shasta County (530) 241-0713

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 1659316107. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as Shopko Pharmacy 096.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 55 Lake Blvd, Redding, CA 96003. The listed phone number is (530) 241-0713.

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 August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.