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SHOPKO PHARMACY 760
NPI 1780885228
Pharmacy - Community/Retail Pharmacy in Green River, WY

Active since May 31, 2007
1105 BRIDGER DR, GREEN RIVER, WY 82935(307) 875-4904(307) 875-0192 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 760 NPPES

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

SHOPKO PHARMACY 760 (NPI 1780885228) is a healthcare organization registered as a community/retail pharmacy in Green River, Wyoming and active in the NPI registry since May 2007. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1780885228
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1105 BRIDGER DRGreen River, WY 82935-5895
Mailing Address1105 Bridger DrGreen River, WY 82935-5895 · (307) 875-4904 · Fax (307) 875-0192
Phone(307) 875-4904
Fax(307) 875-0192
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 31, 2007
Last NPPES UpdateJanuary 25, 2013
✔ NPI 1780885228 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
1105 BRIDGER DR, Green River, WY 82935
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Other Names 1

Doing Business AsShopko Pharmacy 760

Other Identifiers 3

Other5204007Ncpdp Number
Medicaid1780885228WY
Medicare NSC5695760270

Other Providers at the Same Location NPPES

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

CORY OFFICER
Pharmacist
1105 BRIDGER DR
GREEN RIVER, WY 82935
Sweetwater County (307) 875-4904

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 1780885228. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Shopko Pharmacy 760.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1105 Bridger Dr, Green River, WY 82935. The listed phone number is (307) 875-4904.

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 with the weekly NPPES data releases published by CMS.