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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Walla Walla, 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

1144260571

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 1651 W Rose St, Walla Walla, WA, 99362
Fax (509) 529-7061
Enumeration date Jun 7, 2006
Last updated in NPPES Jun 6, 2014

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332H00000X Eyewear Supplier Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License CF00058648 (WA) Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services

Other identifiers

Identifier Type State Issuer
0215798 Other - WA LABOR & INDUSTRY
278381 Medicaid OR -
278351 Medicaid OR -
0050989 Other - WA LABOR & INDUSTRY
029348 Medicaid OR -
4919695 Other - NCPDP NUMBER
0006130033 Medicaid WA -

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

What type of organization is Shopko Stores Operating Co LLC?
Shopko Stores Operating Co LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-06.