SHOPKO PHARMACY 750
NPI 1952354177
Pharmacy - Community/Retail Pharmacy in Windom, MN

Active since May 18, 2006
2155 1ST AVE N, WINDOM, MN 56101(507) 831-0263(507) 831-0263 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 750 NPPES

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

SHOPKO PHARMACY 750 (NPI 1952354177) is a healthcare organization registered as a community/retail pharmacy in Windom, Minnesota and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1952354177
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2155 1ST AVE NWindom, MN 56101-1286
Mailing Address2155 1st Ave NWindom, MN 56101-1286 · (507) 831-0263 · Fax (507) 831-0263
Fax(507) 831-0263
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 24, 2012
NPI 1952354177 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
2155 1ST AVE N, Windom, MN 56101

Other Names 1

Doing Business AsShopko Pharmacy 750

Other Identifiers 5

Medicaid363213000MN
Medicare NSC5695760197
Other2421131Ncpdp
Medicare ID-Type Unspecified0459230032
Medicaid142427000MN

Other Providers at the Same Location NPPES

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

Pharmacist
2155 1ST AVE N
WINDOM, MN 56101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952354177, enumerated as an "organization" on May 18, 2006.

The provider is located at 2155 1ST AVE N WINDOM, MN 56101 and the phone number is (507) 831-0263.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.