SHOPKO PHARMACY 634
NPI 1669401899
Pharmacy - Community/Retail Pharmacy in Hoopeston, IL

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

The NPI number for Shopko Stores Operating Co LLC is 1669401899. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Shopko Pharmacy 634.

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 July 01, 2006

1020 W CHESTNUT ST, HOOPESTON, IL 60942(217) 283-4456(217) 283-4634 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shopko Pharmacy 634 NPPES

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

SHOPKO PHARMACY 634 (NPI 1669401899) is a healthcare organization registered as a community/retail pharmacy in Hoopeston, Illinois and active in the NPI registry since July 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1669401899

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address1020 W CHESTNUT STHoopeston, IL 60942-1967

Mailing AddressPo Box 1450Minneapolis, MN 55485-5891 · (217) 283-4456 · Fax (217) 283-4634

Phone(217) 283-4456

Fax(217) 283-4634

Organization SubpartNo

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

Enumeration DateJuly 1, 2006

Last NPPES UpdateAugust 30, 2012

✔ NPI 1669401899 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

1020 W CHESTNUT ST, Hoopeston, IL 60942

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Other Names 1

Doing Business AsShopko Pharmacy 634

Other Identifiers 5

Medicaid203606157004IL

Other1477341Ncpdp

Medicare NSC5695760184

Other0459230130Medicare Id - Type Unspecified

Medicaid470626426119IL

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 1669401899. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Shopko Pharmacy 634.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1020 W Chestnut St, Hoopeston, IL 60942. The listed phone number is (217) 283-4456.

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 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.