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SHOPKO PHARMACY 630
NPI 1972557106
Pharmacy - Community/Retail Pharmacy in Arcadia, WI

Active since May 20, 2006
1625 E BLASCHKO AVE, ARCADIA, WI 54612(608) 323-8134(608) 323-8434 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 630 NPPES

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

SHOPKO PHARMACY 630 (NPI 1972557106) is a healthcare organization registered as a community/retail pharmacy in Arcadia, Wisconsin 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

NPI1972557106
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1625 E BLASCHKO AVEArcadia, WI 54612-1835
Mailing Address1625 E Blaschko AveArcadia, WI 54612-1835 · (608) 323-8134 · Fax (608) 323-8434
Phone(608) 323-8134
Fax(608) 323-8434
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1972557106 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
1625 E BLASCHKO AVE, Arcadia, WI 54612
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Other Names 1

Doing Business AsShopko Pharmacy 630

Other Identifiers 2

Other0459230083Medicare Id - Type Unspecified
Medicare NSC5695760182

Other Providers at the Same Location NPPES 3

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

MS. NATASHA HAINES
Pharmacy Technician
1625 E BLASCHKO AVE
ARCADIA, WI 54612
Trempealeau County (608) 323-8134
SHOPKO PHARMACY
Pharmacy
1625 E BLASCHKO AVE
ARCADIA, WI 54612
Trempealeau County (608) 323-8134
MS. AMBER RAE SEMB
Pharmacy Technician
1625 E BLASCHKO AVE
ARCADIA, WI 54612
Trempealeau County (608) 323-8134

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 1972557106. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Shopko Pharmacy 630.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1625 E Blaschko Ave, Arcadia, WI 54612. The listed phone number is (608) 323-8134.

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 September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.