SHOPKO RXCARE
NPI 1770893968
Pharmacy - Long Term Care Pharmacy in Monona, WI

Active since October 21, 2010
2704 INDUSTRIAL DRIVE, MONONA, WI 53713(608) 223-0054(608) 223-0225 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shopko Rxcare NPPES

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

SHOPKO RXCARE (NPI 1770893968) is a healthcare organization registered as a long term care pharmacy in Monona, Wisconsin and active in the NPI registry since October 2010. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1770893968
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSHOPKO INSTITUTIONAL CARE SERVICES CO LLC
Location Address2704 INDUSTRIAL DRIVEMonona, WI 53713-4806
Mailing Address2704 Industrial DriveMonona, WI 53713-4806 · (608) 223-0054 · Fax (608) 223-0225
Fax(608) 223-0225
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateOctober 21, 2010
Last NPPES UpdateOctober 17, 2013
NPI 1770893968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in WI · 9042042
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2704 INDUSTRIAL DRIVE, Monona, WI 53713

Other Names 1

Doing Business AsShopko Rxcare

Other Identifiers 3

Medicaid1770893968WI
Medicare NSC6497850002
Medicaid203940171001IL

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 Institutional Care Services Co LLC's NPI number?

The NPI number for Shopko Institutional Care Services Co LLC is 1770893968. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Shopko Rxcare.

Where is Shopko Institutional Care Services Co LLC located?

Shopko Institutional Care Services Co LLC is located at 2704 Industrial Drive, Monona, WI 53713. The listed phone number is (608) 223-0054.

What is Shopko Institutional Care Services Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Shopko Institutional Care Services Co LLC was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.