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SHOPKO PHARMACY 749
NPI 1881647840
Pharmacy - Community/Retail Pharmacy in Saint James, MN

Active since May 18, 2006
301 1ST AVE S, SAINT JAMES, MN 56081(507) 375-8115(507) 375-8357 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 749 NPPES

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

SHOPKO PHARMACY 749 (NPI 1881647840) is a healthcare organization registered as a community/retail pharmacy in Saint James, Minnesota and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1881647840
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address301 1ST AVE SSaint James, MN 56081-1723
Mailing Address301 1st Ave SSaint James, MN 56081-1723 · (507) 375-8115 · Fax (507) 375-8357
Phone(507) 375-8115
Fax(507) 375-8357
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 24, 2012
✔ NPI 1881647840 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
301 1ST AVE S, Saint James, MN 56081
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Other Names 1

Doing Business AsShopko Pharmacy 749

Other Identifiers 5

Medicaid728113000MN
Other2424276Ncpdp
Medicare ID-Type Unspecified0459230089
Medicaid891450800MN
Medicare NSC5695760199

Other Providers at the Same Location NPPES

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

JEREMIAH BERTSCHINGER PHARM. D
Pharmacist
301 1ST AVE S
SAINT JAMES, MN 56081
Watonwan County (507) 375-8115

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 1881647840. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Pharmacy 749.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 301 1st Ave S, Saint James, MN 56081. The listed phone number is (507) 375-8115.

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 September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.