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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Spokane, WA · enumerated 2006 · authorized official Michael Bettiga, Sr. Vice President Health Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003855057

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 9520 N Newport Hwy, Spokane, WA, 99218
Phone (509) 466-7414
Fax (509) 466-0546
Enumeration date Jun 5, 2006
Last updated in NPPES Aug 28, 2015

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332H00000X Eyewear Supplier Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License CF00058644 (WA) Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services
Phone (920) 429-4297

Other identifiers

Identifier Type State Issuer
0006004071 Medicaid WA —
0215797 Other — WA LABOR & INDUSTRY
0013174 Other — WA LABOR & INDUSTRY
4918275 Other — NCPDP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shopko Stores Operating Co LLC?
NPPES lists Michael Bettiga (Sr. Vice President Health Services) as the authorized official for this organization.
What is the NPI number for Shopko Stores Operating Co LLC?
The NPI for Shopko Stores Operating Co LLC is 1003855057, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-28.