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SHOPKO PHARMACY 180
NPI 1700042884
Pharmacy - Community/Retail Pharmacy in Council Bluffs, IA

Active since July 29, 2008
3271 MARKETPLACE DR, COUNCIL BLUFFS, IA 51501(712) 366-0377(712) 366-9020 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 180 NPPES

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

SHOPKO PHARMACY 180 (NPI 1700042884) is a healthcare organization registered as a community/retail pharmacy in Council Bluffs, Iowa and active in the NPI registry since July 2008. The organization lists Michael Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1700042884
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address3271 MARKETPLACE DRCouncil Bluffs, IA 51501
Mailing Address3271 Marketplace DrCouncil Bluffs, IA 51501 · (712) 366-0377 · Fax (712) 366-9020
Phone(712) 366-0377
Fax(712) 366-9020
Organization SubpartNo
Authorized OfficialMichael BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJuly 29, 2008
Last NPPES UpdateMay 13, 2009
✔ NPI 1700042884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
3271 MARKETPLACE DR, Council Bluffs, IA 51501
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Other Names 1

Doing Business AsShopko Pharmacy 180

Other Identifiers 5

Medicaid10025730800NE
Medicare NSC5695760145
Other1700042884Wellmark Bcbs Ia Dme Blue Shield Alliance Select Select First
Other1623621Ncpdp
Medicaid1700042884IA

Other Providers at the Same Location NPPES

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

SHOPKO STORES OPERATING CO LLC
Eyewear Supplier
3271 MARKETPLACE DR
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 366-0706

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 1700042884. It was assigned to this organization in the NPPES registry on July 29, 2008. The provider is doing business as Shopko Pharmacy 180.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 3271 Marketplace Dr, Council Bluffs, IA 51501. The listed phone number is (712) 366-0377.

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 May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.