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SHOPKO PHARMACY 670
NPI 1750333134
Pharmacy - Community/Retail Pharmacy in Wayne, NE

Active since May 16, 2006
615 DEARBORN ST, WAYNE, NE 68787(402) 375-2079(402) 375-2082 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 670 NPPES

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

SHOPKO PHARMACY 670 (NPI 1750333134) is a healthcare organization registered as a community/retail pharmacy in Wayne, Nebraska and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1750333134
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address615 DEARBORN STWayne, NE 68787-2244
Mailing Address615 Dearborn StWayne, NE 68787-2244 · (402) 375-2079 · Fax (402) 375-2082
Phone(402) 375-2079
Fax(402) 375-2082
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 12, 2012
✔ NPI 1750333134 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
615 DEARBORN ST, Wayne, NE 68787
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Other Names 1

Doing Business AsShopko Pharmacy 670

Other Identifiers 7

Medicaid10024985800NE
Medicaid0565648IA
Medicaid0721878IA
Other2816582Ncpdp
Medicaid10025416100NE
Medicare ID-Type Unspecified0459230109
Medicare ID-Type Unspecified5694490109

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 1750333134. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Pharmacy 670.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 615 Dearborn St, Wayne, NE 68787. The listed phone number is (402) 375-2079.

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 September 12, 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.