1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Pharmacy
  6. NPI Profile

SHOPKO PHARMACY 001
NPI 1982659140
Pharmacy - Community/Retail Pharmacy in Green Bay, WI

Active since May 24, 2006
216 S MILITARY AVE, GREEN BAY, WI 54303(920) 499-0895(920) 494-3410 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 001 NPPES

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

SHOPKO PHARMACY 001 (NPI 1982659140) is a healthcare organization registered as a community/retail pharmacy in Green Bay, 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

NPI1982659140
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address216 S MILITARY AVEGreen Bay, WI 54303-2498
Mailing Address216 S Military AveGreen Bay, WI 54303-2498 · (920) 499-0895 · Fax (920) 494-3410
Phone(920) 499-0895
Fax(920) 494-3410
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 24, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1982659140 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 · 8614042
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
216 S MILITARY AVE, Green Bay, WI 54303
Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 001

Other Identifiers 4

Medicare NSC5695760007
Other5103508Ncpdp Number
Medicare ID-Type Unspecified0154160039
Medicaid33136200WI

Other Providers at the Same Location NPPES 6

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

DR. MICHELLE MARIE MUELLER O.D.
Optometrist
216 S MILITARY AVE
GREEN BAY, WI 54303
Brown County (920) 494-3384
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
216 S MILITARY AVE
GREEN BAY, WI 54303
Brown County (920) 494-3384
DANIEL CHRISTOPHER TORREANO PHARMD.
Pharmacist
216 S MILITARY AVE
GREEN BAY, WI 54303
Brown County (920) 499-0895
DR. THOMAS EDWARD BOBKA OD
Optometrist
216 S MILITARY AVE
GREEN BAY, WI 54303
Brown County (920) 494-3384
MR. JAMIE MICHAEL KINJERSKI PHARMD.
Pharmacist
216 S MILITARY AVE
GREEN BAY, WI 54303
Brown County (920) 499-0895
LAWRENCE ADAM GOTTLIEB
Pharmacist
216 S MILITARY AVE
GREEN BAY, WI 54303
Brown County (920) 499-0895

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 1982659140. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Shopko Pharmacy 001.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 216 S Military Ave, Green Bay, WI 54303. The listed phone number is (920) 499-0895.

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 June 6, 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.