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SHOPKO PHARMACY 020
NPI 1790731438
Pharmacy - Community/Retail Pharmacy in La Crosse, WI

Active since May 25, 2006
2400 ROSE ST, LA CROSSE, WI 54603(608) 781-3300(608) 783-7810 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 020 NPPES

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

SHOPKO PHARMACY 020 (NPI 1790731438) is a healthcare organization registered as a community/retail pharmacy in La Crosse, Wisconsin and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1790731438
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2400 ROSE STLa Crosse, WI 54603-1612
Mailing Address2400 Rose StLa Crosse, WI 54603-1612 · (608) 781-3300 · Fax (608) 783-7810
Phone(608) 781-3300
Fax(608) 783-7810
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 6, 2008
✔ NPI 1790731438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 8613042
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
2400 ROSE ST, La Crosse, WI 54603
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Other Names 1

Doing Business AsShopko Pharmacy 020

Other Identifiers 6

Medicaid33135500WI
Other5106516Ncpdp Number
Medicaid423358100MN
Medicare NSC5695760057
Medicare ID-Type Unspecified0154160077
Medicaid883693000MN

Other Providers at the Same Location NPPES 4

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

JUSTIN C STAKSTON PHARMD, BCPS
Pharmacist (Pharmacotherapy)
2400 ROSE ST
LA CROSSE, WI 54603
La Crosse County (608) 781-3300
MR. JOHN PATRICK SMIEJA R.PH.
Pharmacist
2400 ROSE ST
LA CROSSE, WI 54603
La Crosse County (608) 781-3300
TRISHA STROYNY PHARMD
Pharmacist
2400 ROSE ST
LA CROSSE, WI 54603
La Crosse County (608) 781-3300
RHONDA WINE
Pharmacist
2400 ROSE ST
LA CROSSE, WI 54603
La Crosse County (608) 781-3300

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 1790731438. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Shopko Pharmacy 020.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2400 Rose St, La Crosse, WI 54603. The listed phone number is (608) 781-3300.

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 August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.