Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Glencoe, MN, holding Type 2 (organization) NPI 1073567558 since 2006. The authorized official on file is Michael Bettiga, Executive Vice President & Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073567558 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 3225 10TH ST E, Glencoe, MN, 55336 |
| Phone | 3208645026 |
| Fax | 3208645194 |
| Enumeration date | 2006-05-20 |
| Last updated in NPPES | 2012-08-23 |
Authorized official
| Name | Michael Bettiga |
|---|---|
| Title | Executive Vice President & Coo |
| Phone | 9204294297 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1073567558 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3225 10TH ST E, Glencoe, MN, 55336
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356684245 | Shopko Stores Operating Co LLC | Organization | Eyewear Supplier | Glencoe, MN |
| 1881012532 | Matthew Kelly | Individual | Pharmacist | Glencoe, MN |
Verify this record
Cross-check NPI 1073567558 against the authoritative CMS record: view Shopko Stores Operating Co LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Shopko Stores Operating Co LLC?
Who is the authorized official for Shopko Stores Operating Co LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-23.