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Shopko Institutional Care Services Co LLC

Long Term Care Pharmacy in Appleton, WI · enumerated 2010 · authorized official Michael Bettiga, Executive Vice President and Coo.

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

National Provider Identifier

1053621243

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Institutional Care Services Co LLC
Other name <Unavail>
Practice address 3701 E Evergreen Dr, Ste 1000, Appleton, WI, 54913
Fax (920) 739-3922
Enumeration date Oct 21, 2010
Last updated in NPPES Nov 1, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 9041042 (WI) Primary

Authorized official

Name Michael Bettiga
Title Executive Vice President and Coo

Other identifiers

Identifier Type State Issuer
1053621243 Medicaid MI
1053621243 Medicaid WI

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 Institutional Care Services Co LLC?
NPPES lists Michael Bettiga (Executive Vice President and Coo) as the authorized official for this organization.
What is the NPI number for Shopko Institutional Care Services Co LLC?
The NPI for Shopko Institutional Care Services Co LLC is 1053621243, 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 2011-11-01.