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SHOPKO PHARMACY 764
NPI 1780936963
Pharmacy - Community/Retail Pharmacy in Buffalo, WY

Active since October 11, 2012
129 HARMONY ST, BUFFALO, WY 82834(307) 684-4540(307) 684-2220 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 764 NPPES

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

SHOPKO PHARMACY 764 (NPI 1780936963) is a healthcare organization registered as a community/retail pharmacy in Buffalo, Wyoming and active in the NPI registry since October 2012. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1780936963
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address129 HARMONY STBuffalo, WY 82834-2463
Mailing Address129 Harmony StBuffalo, WY 82834-2463
Phone(307) 684-4540
Fax(307) 684-2220
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateOctober 11, 2012
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1780936963 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
129 HARMONY ST, Buffalo, WY 82834
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Other Names 1

Doing Business AsShopko Pharmacy 764

Other Identifiers 1

Medicare NSC5695760276

Other Providers at the Same Location NPPES

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

ELIZABETH KETTERLING
Pharmacist
129 HARMONY ST
BUFFALO, WY 82834
Johnson County (307) 684-4540

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 1780936963. It was assigned to this organization in the NPPES registry on October 11, 2012. The provider is doing business as Shopko Pharmacy 764.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 129 Harmony St, Buffalo, WY 82834. The listed phone number is (307) 684-4540.

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 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.