Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Blair, NE · enumerated 2006 · authorized official Michael Bettiga, Executive Vice President & Coo.

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

National Provider Identifier

1063465854

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co LLC

Other name <Unavail>

Practice address 150 S 1st St, Blair, NE, 68008

Phone (402) 426-9189

Fax (402) 426-9190

Enumeration date May 19, 2006

Last updated in NPPES Aug 28, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Michael Bettiga

Title Executive Vice President & Coo

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
47062642603	Medicaid	NE	-
2814689	Other	-	NCPDP
0721886	Medicaid	IA	-
0973404	Medicaid	IA	-
0459230047	Other	-	MEDICARE ID - TYPE UNSPECIFIED
10025417400	Medicaid	NE	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Blair, NE.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-08-28. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-28.