SHOPKO PHARMACY 769
NPI 1659325447
Pharmacy - Community/Retail Pharmacy in Sidney, MT

Active since May 19, 2006
1159 S CENTRAL AVE, SIDNEY, MT 59270(406) 482-6401(406) 482-6402 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 769 NPPES

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

SHOPKO PHARMACY 769 (NPI 1659325447) is a healthcare organization registered as a community/retail pharmacy in Sidney, Montana 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

NPI1659325447
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1159 S CENTRAL AVESidney, MT 59270-5219
Mailing Address1159 S Central AveSidney, MT 59270-5219 · (406) 482-6401 · Fax (406) 482-6402
Fax(406) 482-6402
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 1, 2012
NPI 1659325447 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
1159 S CENTRAL AVE, Sidney, MT 59270

Other Names 1

Doing Business AsShopko Pharmacy 769

Other Identifiers 3

Medicaid1659325447MT
Medicare NSC5695760205
Other2764113Ncpdp

Other Providers at the Same Location NPPES

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

Pharmacist
1159 S CENTRAL AVE
SIDNEY, MT 59270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659325447, enumerated as an "organization" on May 19, 2006.

The provider is located at 1159 S CENTRAL AVE SIDNEY, MT 59270 and the phone number is (406) 482-6401.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.