SHOPKO PHARMACY 057
NPI 1699728469
Pharmacy - Community/Retail Pharmacy in Winona, MN

Active since May 19, 2006
405 COTTONWOOD DR, WINONA, MN 55987(507) 452-1244(507) 457-3526 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 057 NPPES

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

SHOPKO PHARMACY 057 (NPI 1699728469) is a healthcare organization registered as a community/retail pharmacy in Winona, Minnesota 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

NPI1699728469
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address405 COTTONWOOD DRWinona, MN 55987-1914
Mailing Address405 Cottonwood DrWinona, MN 55987-1914 · (507) 452-1244 · Fax (507) 457-3526
Fax(507) 457-3526
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 7, 2008
NPI 1699728469 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 · 2628037
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
405 COTTONWOOD DR, Winona, MN 55987

Other Names 1

Doing Business AsShopko Pharmacy 057

Other Identifiers 6

Other2417865Ncpdp Number
Medicare ID-Type Unspecified1111590045
Medicaid057482000MN
Medicare NSC5695760091
Medicaid676758300MN
Medicaid33070000WI

Other Providers at the Same Location NPPES 3

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

Optometrist
405 COTTONWOOD DR
WINONA, MN 55987
Eyewear Supplier
405 COTTONWOOD DR
WINONA, MN 55987
Pharmacist
405 COTTONWOOD DR
WINONA, MN 55987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699728469, enumerated as an "organization" on May 19, 2006.

The provider is located at 405 COTTONWOOD DR WINONA, MN 55987 and the phone number is (507) 452-1244.

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.