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SHOPKO PHARMACY 688
NPI 1770535866
Pharmacy - Community/Retail Pharmacy in Missouri Valley, IA

Active since May 17, 2006
413 W HURON ST, MISSOURI VALLEY, IA 51555(712) 642-2716(712) 642-3961 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 688 NPPES

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

SHOPKO PHARMACY 688 (NPI 1770535866) is a healthcare organization registered as a community/retail pharmacy in Missouri Valley, Iowa and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1770535866
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address413 W HURON STMissouri Valley, IA 51555-1436
Mailing Address413 W Huron StMissouri Valley, IA 51555-1436 · (712) 642-2716 · Fax (712) 642-3961
Phone(712) 642-2716
Fax(712) 642-3961
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 17, 2006
Last NPPES UpdateJanuary 25, 2013
✔ NPI 1770535866 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
413 W HURON ST, Missouri Valley, IA 51555
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Other Names 1

Doing Business AsShopko Pharmacy 688

Other Identifiers 4

Medicaid0268078IA
Medicare NSC5695760272
Other1621235Ncpdp
Medicaid0495911IA

Other Providers at the Same Location NPPES

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

LEIGH MOORE
Pharmacist
413 W HURON ST
MISSOURI VALLEY, IA 51555
Harrison County (712) 642-2716

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 1770535866. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Pharmacy 688.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 413 W Huron St, Missouri Valley, IA 51555. The listed phone number is (712) 642-2716.

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 January 25, 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.