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SHOPKO PHARMACY 114
NPI 1932153749
Pharmacy - Community/Retail Pharmacy in Duluth, MN

Active since May 19, 2006
801 W CENTRAL ENTRANCE, DULUTH, MN 55811(218) 727-7139(218) 727-6240 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 114 NPPES

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

SHOPKO PHARMACY 114 (NPI 1932153749) is a healthcare organization registered as a community/retail pharmacy in Duluth, Minnesota and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1932153749
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address801 W CENTRAL ENTRANCEDuluth, MN 55811-5468
Mailing Address801 W Central EntranceDuluth, MN 55811-5468 · (218) 727-7139 · Fax (218) 727-6240
Phone(218) 727-7139
Fax(218) 727-6240
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1932153749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 2628082
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
Also ListedPharmacyTaxonomy 333600000X
801 W CENTRAL ENTRANCE, Duluth, MN 55811
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Other Names 1

Doing Business AsShopko Pharmacy 114

Other Identifiers 7

Medicaid022715300MN
Medicaid33194800WI
Medicaid561447000MN
Medicaid375038800MN
Other2421016Ncpdp Number
Medicare ID-Type Unspecified0154160161
Medicare NSC5695760093

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.

JANELLE STEPHANIE STROM O.D.
Optometrist
801 W CENTRAL ENTRANCE
DULUTH, MN 55811
St. Louis County (218) 727-7163
DR. AMY C ONKEN O.D.
Optometrist
801 W CENTRAL ENTRANCE
DULUTH, MN 55811
St. Louis County (218) 727-7163
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
801 W CENTRAL ENTRANCE
DULUTH, MN 55811
St. Louis County (218) 727-7163
DR. LISA NICOLE SMITH PHARMD
Pharmacist
801 W CENTRAL ENTRANCE
DULUTH, MN 55811
St. Louis County (218) 727-7139

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 1932153749. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 114.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 801 W Central Entrance, Duluth, MN 55811. The listed phone number is (218) 727-7139.

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 August 27, 2013. 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.