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SHOPKO PHARMACY 687
NPI 1720112816
Pharmacy - Community/Retail Pharmacy in Greenfield, IA

Active since March 14, 2007
202 SW KENT, GREENFIELD, IA 50849(641) 743-2201(641) 743-2203 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shopko Pharmacy 687 NPPES

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

SHOPKO PHARMACY 687 (NPI 1720112816) is a healthcare organization registered as a community/retail pharmacy in Greenfield, Iowa and active in the NPI registry since March 2007. The organization lists Michael Bettiga, Executuive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1720112816
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address202 SW KENTGreenfield, IA 50849-0254
Mailing Address202 Sw KentGreenfield, IA 50849-0254 · (641) 743-2201 · Fax (641) 743-2203
Phone(641) 743-2201
Fax(641) 743-2203
Organization SubpartNo
Authorized OfficialMichael BettigaExecutuive Vice President & Coo · (920) 429-4297
Enumeration DateMarch 14, 2007
Last NPPES UpdateApril 18, 2013
✔ NPI 1720112816 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
202 SW KENT, Greenfield, IA 50849
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Other Names 1

Doing Business AsShopko Pharmacy 687

Other Identifiers 2

Medicare NSC5685760289IA
Medicaid0766279IA

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 1720112816. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Shopko Pharmacy 687.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 202 SW Kent, Greenfield, IA 50849. The listed phone number is (641) 743-2201.

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 April 18, 2013. 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.