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SHOPKO PHARMACY 686
NPI 1982657912
Pharmacy - Community/Retail Pharmacy in Glenwood, IA

Active since May 19, 2006
902 S LOCUST ST, GLENWOOD, IA 51534(712) 527-9200(712) 527-5836 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 686 NPPES

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

SHOPKO PHARMACY 686 (NPI 1982657912) is a healthcare organization registered as a community/retail pharmacy in Glenwood, Iowa and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1982657912
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address902 S LOCUST STGlenwood, IA 51534-1834
Mailing Address902 S Locust StGlenwood, IA 51534-1834 · (712) 527-9200 · Fax (712) 527-5836
Phone(712) 527-9200
Fax(712) 527-5836
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 17, 2012
✔ NPI 1982657912 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
902 S LOCUST ST, Glenwood, IA 51534
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Other Names 1

Doing Business AsShopko Pharmacy 686

Other Identifiers 6

Other1620853Ncpdp
Medicaid0223735IA
Medicaid0495929IA
Medicare ID-Type Unspecified5694490006
Medicaid10025460600NE
Medicare ID-Type Unspecified0459230087

Other Providers at the Same Location NPPES

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

AMBER MILLER R.PH.
Pharmacist
902 S LOCUST ST, PAMIDA PHARMACY
GLENWOOD, IA 51534
Mills County (712) 527-9200

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 1982657912. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 902 S Locust St, Glenwood, IA 51534. The listed phone number is (712) 527-9200.

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 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.