SHOPKO PHARMACY 076
NPI 1659322543
Pharmacy - Community/Retail Pharmacy in Sioux Falls, SD

Active since May 15, 2006
1601 W 41ST ST, SIOUX FALLS, SD 57105(605) 338-3155(605) 334-4915 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 076 NPPES

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

SHOPKO PHARMACY 076 (NPI 1659322543) is a healthcare organization registered as a community/retail pharmacy in Sioux Falls, South Dakota and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1659322543
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1601 W 41ST STSioux Falls, SD 57105-6371
Mailing Address1601 W 41st StSioux Falls, SD 57105-6371 · (605) 338-3155 · Fax (605) 334-4915
Fax(605) 334-4915
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 6, 2014
NPI 1659322543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in SD · 1001908
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 ListedEyewear SupplierTaxonomy 332H00000X
1601 W 41ST ST, Sioux Falls, SD 57105

Other Names 1

Doing Business AsShopko Pharmacy 076

Other Identifiers 11

Medicare ID-Type Unspecified0154160064
Medicaid191318200MN
Medicaid9164950SD
Medicaid886682000MN
Medicaid8503110SD
Medicaid8503112SD
Medicaid9164952SD
Other4304008Ncpdp Number
Medicare NSC5695760071
Medicaid0966796IA
Medicaid0722660IA

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.

Optometrist
1601 W 41ST ST
SIOUX FALLS, SD 57105
Eyewear Supplier
1601 W 41ST ST
SIOUX FALLS, SD 57105

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 1659322543. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as Shopko Pharmacy 076.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1601 W 41st St, Sioux Falls, SD 57105. The listed phone number is (605) 338-3155.

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 June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.