SHOPKO RXCARE 404
NPI 1831515766
Pharmacy - Long Term Care Pharmacy in Brookfield, WI

Active since March 17, 2014
150 N PATRICK BLVD, 250, BROOKFIELD, WI 53045(920) 429-2211 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Rxcare 404 NPPES

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

SHOPKO RXCARE 404 (NPI 1831515766) is a healthcare organization registered as a long term care pharmacy in Brookfield, Wisconsin and active in the NPI registry since March 2014. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1831515766
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSHOPKO INSTITUTIONAL CARE SERVICES CO LLC
Location Address150 N PATRICK BLVD, 250Brookfield, WI 53045-5892
Mailing Address150 N Patrick Blvd, 250Brookfield, WI 53045-5892
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMarch 17, 2014
NPI 1831515766 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 · 9248-42
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
150 N PATRICK BLVD, Brookfield, WI 53045

Other Names 1

Doing Business AsShopko Rxcare 404

Other Providers at the Same Location NPPES 2

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

Pharmacist
150 N PATRICK BLVD
BROOKFIELD, WI 53045
Pharmacy (Long Term Care Pharmacy)
150 N PATRICK BLVD, SUITE 250
BROOKFIELD, WI 53045

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 1831515766. It was assigned to this organization in the NPPES registry on March 17, 2014. The provider is doing business as Shopko Rxcare 404.

Where is Shopko Institutional Care Services Co LLC located?

Shopko Institutional Care Services Co LLC is located at 150 N Patrick Blvd 250, Brookfield, WI 53045. The listed phone number is (920) 429-2211.

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 March 17, 2014. 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.