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SHOPKO PHARMACY 130
NPI 1962457689
Pharmacy - Community/Retail Pharmacy in River Falls, WI

Active since May 23, 2006
1777 PAULSON RD, RIVER FALLS, WI 54022(715) 425-6272(715) 425-5399 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 130 NPPES

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

SHOPKO PHARMACY 130 (NPI 1962457689) is a healthcare organization registered as a community/retail pharmacy in River Falls, Wisconsin 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

NPI1962457689
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1777 PAULSON RDRiver Falls, WI 54022-8299
Mailing Address1777 Paulson RdRiver Falls, WI 54022-8299 · (715) 425-6272 · Fax (715) 425-5399
Phone(715) 425-6272
Fax(715) 425-5399
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 25, 2014
✔ NPI 1962457689 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 WI · 8602042
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
1777 PAULSON RD, River Falls, WI 54022
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Other Names 1

Doing Business AsShopko Pharmacy 130

Other Identifiers 6

Medicare NSC5695760004
Other5122130Ncpdp Number
Medicaid325789400MN
Medicaid536668000MN
Medicaid33202200WI
Medicare ID-Type Unspecified0154160219

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.

SCOTT LINDAMAN RPH
Pharmacist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6272
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6144
DR. ERIC HANSON O.D.
Optometrist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6144
GREGORY D ARNOLD PHARM.D.
Pharmacist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-6272
MICHELLE RAE SCHNEIDER RPH
Pharmacist
1777 PAULSON RD
RIVER FALLS, WI 54022
Pierce County (715) 425-5256

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 1962457689. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Shopko Pharmacy 130.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1777 Paulson Rd, River Falls, WI 54022. The listed phone number is (715) 425-6272.

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 July 25, 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.