1. Home
  2. Directory
  3. Wisconsin
  4. Kewaunee
  5. Pharmacy
  6. NPI Profile

SHOPKO PHARMACY 601
NPI 1891014635
Pharmacy - Community/Retail Pharmacy in Kewaunee, WI

Active since May 19, 2010
802 N MAIN ST, KEWAUNEE, WI 54216(920) 388-2231(920) 388-2459 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 601 NPPES

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

SHOPKO PHARMACY 601 (NPI 1891014635) is a healthcare organization registered as a community/retail pharmacy in Kewaunee, Wisconsin and active in the NPI registry since May 2010. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1891014635
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address802 N MAIN STKewaunee, WI 54216-0274
Mailing Address802 N Main St, Po Box 274Kewaunee, WI 54216-0274 · (920) 388-2231 · Fax (920) 388-2459
Phone(920) 388-2231
Fax(920) 388-2459
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 19, 2010
Last NPPES UpdateSeptember 22, 2010
✔ NPI 1891014635 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 · 9006-042
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
802 N MAIN ST, Kewaunee, WI 54216
Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 601

Other Identifiers 2

Medicaid1891014635WI
Medicare NSC5695760146

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.

MR. THOMAS JAMES RYDZEWSKI RPH
Pharmacist
802 N MAIN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-2231
SARAH ANNE NASH PHARMD
Pharmacist
802 N MAIN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-2915

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 1891014635. It was assigned to this organization in the NPPES registry on May 19, 2010. The provider is doing business as Shopko Pharmacy 601.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 802 N Main St, Kewaunee, WI 54216. The listed phone number is (920) 388-2231.

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 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.