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SHOPKO PHARMACY 602
NPI 1982922860
Pharmacy - Community/Retail Pharmacy in Oconto, WI

Active since May 17, 2010
126 CHARLES ST, OCONTO, WI 54153(920) 834-9800(920) 834-9801 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 602 NPPES

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

SHOPKO PHARMACY 602 (NPI 1982922860) is a healthcare organization registered as a community/retail pharmacy in Oconto, Wisconsin and active in the NPI registry since May 2010. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1982922860
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address126 CHARLES STOconto, WI 54153-9446
Mailing Address126 Charles StOconto, WI 54153-9446 · (920) 834-9800 · Fax (920) 834-9801
Phone(920) 834-9800
Fax(920) 834-9801
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 17, 2010
Last NPPES UpdateJuly 26, 2011
✔ NPI 1982922860 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 · 9005-042
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 · License 456-1020161146-03 (WI)
Also ListedPharmacyTaxonomy 333600000X
126 CHARLES ST, Oconto, WI 54153
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Other Names 1

Doing Business AsShopko Pharmacy 602

Other Identifiers 2

Medicare NSC5695760147WI
Medicaid1982922860WI

Other Providers at the Same Location NPPES 4

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

DR. JACLYN ANN KELLER O.D.
Optometrist
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
MR. THOMAS LOTTER SR. RPH
Pharmacist
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
SHOPKO #602
Pharmacy
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
SHOPKO STORES OPERATING CO LLC
Eyewear Supplier
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-1111

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 1982922860. It was assigned to this organization in the NPPES registry on May 17, 2010. The provider is doing business as Shopko Pharmacy 602.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 126 Charles St, Oconto, WI 54153. The listed phone number is (920) 834-9800.

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 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.