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SHOPKO PHARMACY 735
NPI 1689628356
Pharmacy - Community/Retail Pharmacy in Aitkin, MN

Active since May 19, 2006
190 SOUTHGATE DR, AITKIN, MN 56431(218) 927-2466(218) 927-2597 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 735 NPPES

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

SHOPKO PHARMACY 735 (NPI 1689628356) is a healthcare organization registered as a community/retail pharmacy in Aitkin, Minnesota 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

NPI1689628356
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address190 SOUTHGATE DRAitkin, MN 56431-7407
Mailing Address190 Southgate DrAitkin, MN 56431-7407 · (218) 927-2466 · Fax (218) 927-2597
Phone(218) 927-2466
Fax(218) 927-2597
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 5, 2012
✔ NPI 1689628356 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 MN · 262790-2
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
190 SOUTHGATE DR, Aitkin, MN 56431
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Other Names 1

Doing Business AsShopko Pharmacy 735

Other Identifiers 5

Medicare ID-Type Unspecified0459230016
Medicaid777133000MN
Other2420482Ndpdp
Medicare NSC5695760209
Medicaid209860100MN

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.

MR. TIM JOHNSON RPH
Pharmacist
190 SOUTHGATE DR
AITKIN, MN 56431
Aitkin County (218) 927-2466
DR. GREGORY BRAATEN PHARM.D.
Pharmacist
190 SOUTHGATE DR
AITKIN, MN 56431
Aitkin County (218) 927-2466

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 1689628356. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 735.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 190 Southgate Dr, Aitkin, MN 56431. The listed phone number is (218) 927-2466.

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 October 5, 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.