Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Mauston, WI, holding Type 2 (organization) NPI 1124473533 since 2016. The authorized official on file is Lorie Neumann, Director of Third Party.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124473533 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 406 GATEWAY AVE, Mauston, WI, 53948 |
| Phone | 6083500962 |
| Enumeration date | 2016-05-04 |
| Last updated in NPPES | 2016-12-15 |
Authorized official
| Name | Lorie Neumann |
|---|---|
| Title | Director of Third Party |
| Phone | 9204294726 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124473533 | Medicaid | WI | — |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1124473533 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 406 GATEWAY AVE, Mauston, WI, 53948
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851438022 | Mile Bluff Medical Center Inc | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Mauston, WI |
| 1629520879 | Mbmc Mauston Phillips LLC | Organization | Community/Retail Pharmacy | Mauston, WI |
| 1700401338 | Joanna Adamski | Individual | Pharmacist | Mauston, WI |
| 1902584956 | Ryback Cyzr Lomboy | Individual | Pharmacist | Mauston, WI |
| 1437958683 | Mile Bluff Medical Center Inc | Organization | Urgent Care Clinic/Center | Mauston, WI |
| 1326835380 | Mile Bluff Medical Center Inc | Organization | Non-Pharmacy Dispensing Site | Mauston, WI |
| 1639050925 | Columba Loniello | Individual | Pharmacy Technician | Mauston, WI |
Verify this record
Cross-check NPI 1124473533 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
How current is this record?
Where is Shopko Stores Operating Co LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-12-15.