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SHOPKO PHARMACY 078
NPI 1952352544
Pharmacy - Community/Retail Pharmacy in Rapid City, SD

Active since May 16, 2006
1845 HAINES AVE, RAPID CITY, SD 57701(605) 342-1055(605) 342-0677 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 078 NPPES

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

SHOPKO PHARMACY 078 (NPI 1952352544) is a healthcare organization registered as a community/retail pharmacy in Rapid City, South Dakota 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

NPI1952352544
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1845 HAINES AVERapid City, SD 57701-0663
Mailing Address1845 Haines AveRapid City, SD 57701-0663 · (605) 342-1055 · Fax (605) 342-0677
Phone(605) 342-1055
Fax(605) 342-0677
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 22, 2013
✔ NPI 1952352544 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 SD · 1001909
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
1845 HAINES AVE, Rapid City, SD 57701
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Other Names 1

Doing Business AsShopko Pharmacy 078

Other Identifiers 7

Medicare NSC5695760048
Medicaid8503212SD
Medicaid9161050SD
Other4304022Ncpdp Number
Medicare ID-Type Unspecified0154160065
Medicaid9161052SD
Medicaid8503210SD

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.

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1845 HAINES AVE
RAPID CITY, SD 57701
Meade County (605) 342-0354
DR. GREG SORENSEN O.D.
Optometrist
1845 HAINES AVE
RAPID CITY, SD 57701
Meade County (605) 342-1157

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 1952352544. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Pharmacy 078.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1845 Haines Ave, Rapid City, SD 57701. The listed phone number is (605) 342-1055.

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 October 22, 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.