1. Home
  2. Directory
  3. Nebraska
  4. North Platte
  5. Pharmacy
  6. NPI Profile

SHOPKO PHARMACY 053
NPI 1992756084
Pharmacy - Community/Retail Pharmacy in North Platte, NE

Active since May 13, 2006
510 E PHILIP AVE, NORTH PLATTE, NE 69101(308) 534-7353(308) 534-2625 Get Directions Write a Review

NPPES record last updated: October 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 053 NPPES

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

SHOPKO PHARMACY 053 (NPI 1992756084) is a healthcare organization registered as a community/retail pharmacy in North Platte, Nebraska 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

NPI1992756084
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address510 E PHILIP AVENorth Platte, NE 69101-5538
Mailing Address510 E Philip AveNorth Platte, NE 69101-5538 · (308) 534-7353 · Fax (308) 534-2625
Phone(308) 534-7353
Fax(308) 534-2625
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 13, 2006
Last NPPES UpdateOctober 28, 2013
✔ NPI 1992756084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed · 2682
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
510 E PHILIP AVE, North Platte, NE 69101
Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 053

Other Identifiers 5

Medicare ID-Type Unspecified0154160089
Other2812748Ncpdp Number
Medicare NSC5695760062
Medicaid41098505415NE
Medicaid10025414300NE

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.

MR. KARL THOMAS JEPSON O.D.
Optometrist
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-2441
DR. JASON L HAWLEY O.D.
Optometrist
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-7271
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-7271
DR. JOHN L DORWART O.D.
Optometrist
510 E PHILIP AVE
NORTH PLATTE, NE 69101
Lincoln County (308) 534-7272

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 1992756084. It was assigned to this organization in the NPPES registry on May 13, 2006. The provider is doing business as Shopko Pharmacy 053.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 510 E Philip Ave, North Platte, NE 69101. The listed phone number is (308) 534-7353.

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 28, 2013. 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.