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SHOPKO PHARMACY 134
NPI 1912946963
Pharmacy - Community/Retail Pharmacy in Pullman, WA

Active since June 05, 2006
1450 S GRAND AVE, PULLMAN, WA 99163(509) 332-0503(509) 332-0233 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 134 NPPES

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

SHOPKO PHARMACY 134 (NPI 1912946963) is a healthcare organization registered as a community/retail pharmacy in Pullman, 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

NPI1912946963
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1450 S GRAND AVEPullman, WA 99163-4900
Mailing Address1450 S Grand AvePullman, WA 99163-4900 · (509) 332-0503 · Fax (509) 332-0233
Phone(509) 332-0503
Fax(509) 332-0233
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJune 5, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1912946963 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 · CF00058645
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
1450 S GRAND AVE, Pullman, WA 99163
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Other Names 1

Doing Business AsShopko Pharmacy 134

Other Identifiers 6

Other4925179Ncpdp Number
Medicare ID-Type Unspecified0154160248
Other0107798Wa Labor & Industry
Medicare NSC5695760078
Other0215812Wa Labor & Industry
Medicaid0006018527WA

Other Providers at the Same Location NPPES 5

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

MRS. MARGARET R IGIELSKI PHARM D
Pharmacist
1450 S GRAND AVE
PULLMAN, WA 99163
Whitman County (509) 332-0503
MR. ROBERT ALLEN DELROSARIO RPH
Pharmacist
1450 S GRAND AVE
PULLMAN, WA 99163
Whitman County (509) 332-0503
DR. TANYA D REID O.D.
Optometrist
1450 S GRAND AVE
PULLMAN, WA 99163
Whitman County (509) 332-0820
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1450 S GRAND AVE
PULLMAN, WA 99163
Whitman County (509) 332-0820
MRS. ELIZABETH ANN BAKKEN PHARMACIST
Pharmacist
1450 S GRAND AVE
PULLMAN, WA 99163
Whitman County (509) 332-0602

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 1912946963. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Shopko Pharmacy 134.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1450 S Grand Ave, Pullman, WA 99163. The listed phone number is (509) 332-0503.

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.