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SHOPKO PHARMACY 680
NPI 1902859317
Pharmacy - Community/Retail Pharmacy in Perry, IA

Active since May 18, 2006
1305 141ST ST, PERRY, IA 50220(515) 465-5484(515) 465-5484 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 680 NPPES

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

SHOPKO PHARMACY 680 (NPI 1902859317) is a healthcare organization registered as a community/retail pharmacy in Perry, Iowa and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1902859317
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1305 141ST STPerry, IA 50220-8128
Mailing Address1305 141st StPerry, IA 50220-8128 · (515) 465-5484 · Fax (515) 465-5484
Phone(515) 465-5484
Fax(515) 465-5484
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1902859317 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
1305 141ST ST, Perry, IA 50220
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Other Names 1

Doing Business AsShopko Pharmacy 680

Other Identifiers 5

Other1619482Ncpdp
Medicaid0495820IA
Medicaid0178251IA
Medicare NSC5695760267
Medicare PINI19957

Other Providers at the Same Location NPPES

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

MIKE MCKIE
Pharmacist
1305 141ST ST
PERRY, IA 50220
Dallas County (515) 465-5484

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 1902859317. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Pharmacy 680.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1305 141st St, Perry, IA 50220. The listed phone number is (515) 465-5484.

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 January 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.