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SHOPKO PHARMACY 669
NPI 1699089995
Pharmacy - Community/Retail Pharmacy in Oelwein, IA

Active since July 29, 2010
1345 S FREDERICK AVE, OELWEIN, IA 50662(319) 283-2028(319) 283-6653 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 669 NPPES

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

SHOPKO PHARMACY 669 (NPI 1699089995) is a healthcare organization registered as a community/retail pharmacy in Oelwein, Iowa and active in the NPI registry since July 2010. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1699089995
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO., LLC
Location Address1345 S FREDERICK AVEOelwein, IA 50662-3060
Mailing Address1345 S Frederick AveOelwein, IA 50662-3060
Phone(319) 283-2028
Fax(319) 283-6653
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateJuly 29, 2010
Last NPPES UpdateOctober 25, 2012
✔ NPI 1699089995 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
1345 S FREDERICK AVE, Oelwein, IA 50662
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Other Names 1

Doing Business AsShopko Pharmacy 669

Other Identifiers 1

Medicare NSC5695760238

Other Providers at the Same Location NPPES 4

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

KELLY WALVATNE PHARM. D
Pharmacist
1345 S FREDERICK AVE
OELWEIN, IA 50662
Fayette County (319) 283-4100
HY-VEE INC
Pharmacy (Community/Retail Pharmacy)
1345 S FREDERICK AVE
OELWEIN, IA 50662
Fayette County (319) 283-4100
DR. ERICA L BUSHAW PHARMD
Pharmacist
1345 S FREDERICK AVE
OELWEIN, IA 50662
Fayette County (319) 283-4100
JORDAN CATHERINE LANGRECK PHARMD
Pharmacist
1345 S FREDERICK AVE
OELWEIN, IA 50662
Fayette County (319) 283-4100

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 1699089995. It was assigned to this organization in the NPPES registry on July 29, 2010. The provider is doing business as Shopko Pharmacy 669.

Where is Shopko Stores Operating Co., LLC located?

Shopko Stores Operating Co., LLC is located at 1345 S Frederick Ave, Oelwein, IA 50662. The listed phone number is (319) 283-2028.

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 25, 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.