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SHOPKO PHARMACY 513
NPI 1740469394
Pharmacy - Community/Retail Pharmacy in Evart, MI

Active since October 31, 2007
107 NORTH MAIN, EVART, MI 49631(231) 734-5581(231) 734-6170 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 513 NPPES

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

SHOPKO PHARMACY 513 (NPI 1740469394) is a healthcare organization registered as a community/retail pharmacy in Evart, Michigan and active in the NPI registry since October 2007. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1740469394
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address107 NORTH MAINEvart, MI 49631
Mailing Address107 North MainEvart, MI 49631 · (231) 734-5581 · Fax (231) 734-6170
Phone(231) 734-5581
Fax(231) 734-6170
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateOctober 31, 2007
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1740469394 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
107 NORTH MAIN, Evart, MI 49631
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Other Names 1

Doing Business AsShopko Pharmacy 513

Other Identifiers 2

Medicare NSC5695760283
Medicaid2370459MI

Other Providers at the Same Location NPPES

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

PETER A TOMSHACK RPH
Pharmacist
107 NORTH MAIN
EVART, MI 49631
Osceola County (231) 734-3811

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 1740469394. It was assigned to this organization in the NPPES registry on October 31, 2007. The provider is doing business as Shopko Pharmacy 513.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 107 North Main, Evart, MI 49631. The listed phone number is (231) 734-5581.

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 February 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.