SHOPKO PHARMACY 047
NPI 1679524037
Pharmacy - Community/Retail Pharmacy in Lincoln, NE

Active since May 12, 2006
100 S 66TH ST, LINCOLN, NE 68510(402) 489-7148(402) 489-6240 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 047 NPPES

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

SHOPKO PHARMACY 047 (NPI 1679524037) is a healthcare organization registered as a community/retail pharmacy in Lincoln, Nebraska 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

NPI1679524037
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address100 S 66TH STLincoln, NE 68510-2301
Mailing Address100 S 66th StLincoln, NE 68510-2301 · (402) 489-7148 · Fax (402) 489-6240
Fax(402) 489-6240
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 5, 2014
NPI 1679524037 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 NE · 2681
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
100 S 66TH ST, Lincoln, NE 68510

Other Names 1

Doing Business AsShopko Pharmacy 047

Other Identifiers 5

Medicaid10025070800NE
Medicare NSC5695760127
Other2812382Ncpdp Number
Medicaid10025414100NE
Medicare ID-Type Unspecified1111590019

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 (Sports Vision)
100 S 66TH ST
LINCOLN, NE 68510
Eyewear Supplier
100 S 66TH ST
LINCOLN, NE 68510

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 1679524037. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Pharmacy 047.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 100 S 66th St, Lincoln, NE 68510. The listed phone number is (402) 489-7148.

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 March 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.