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SHOPKO PHARMACY 122
NPI 1871533208
Pharmacy - Community/Retail Pharmacy in Wenatchee, WA

Active since June 07, 2006
1340 N WENATCHEE AVE, WENATCHEE, WA 98801(509) 664-5111(509) 663-9006 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 122 NPPES

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

SHOPKO PHARMACY 122 (NPI 1871533208) is a healthcare organization registered as a community/retail pharmacy in Wenatchee, Washington and active in the NPI registry since June 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1871533208
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1340 N WENATCHEE AVEWenatchee, WA 98801-1558
Mailing Address1340 N Wenatchee AveWenatchee, WA 98801-1558 · (509) 664-5111 · Fax (509) 663-9006
Phone(509) 664-5111
Fax(509) 663-9006
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1871533208 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 WA · CF00058639
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 ListedEyewear SupplierTaxonomy 332H00000X
1340 N WENATCHEE AVE, Wenatchee, WA 98801
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Other Names 1

Doing Business AsShopko Pharmacy 122

Other Identifiers 7

Other0038601Wa Labor & Industry
Other0215811Wa Labor & Industry
Medicaid0006013684WA
Other4923389Ncpdp Number
Medicare NSC5695760104
Medicare PING8874583WA
Medicare ID-Type Unspecified0154160185

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.

DR. TRAVIS IKSIC PHARMD
Pharmacist
1340 N WENATCHEE AVE
WENATCHEE, WA 98801
Chelan County (509) 664-5111
MS. DONNA MARIE MELLISON PHARMACIST MANAGER
Pharmacist
1340 N WENATCHEE AVE
WENATCHEE, WA 98801
Chelan County (509) 664-5111
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1340 N WENATCHEE AVE
WENATCHEE, WA 98801
Chelan County (509) 663-8868
DR. GLENN H ISAACSON O.D.
Optometrist
1340 N WENATCHEE AVE
WENATCHEE, WA 98801
Chelan County (509) 663-8868

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 1871533208. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Shopko Pharmacy 122.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1340 N Wenatchee Ave, Wenatchee, WA 98801. The listed phone number is (509) 664-5111.

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 June 6, 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.