Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Lewiston, ID · 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

1144275884

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 2120 Thain Grade, Lewiston, ID, 83501

Phone (208) 746-1044

Fax (208) 746-0744

Enumeration date May 23, 2006

Last updated in NPPES Jun 6, 2014

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

332H00000X Eyewear Supplier Suppliers Secondary

333600000X Pharmacy Suppliers · License 2036CP (ID) Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 2036CP (ID) Primary

Authorized official

Name Michael Bettiga

Title Sr. Vice President Health Services

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
000311600	Medicaid	ID	-
806730900	Medicaid	ID	-
0215803	Other	-	WA LABOR & INDUSTRY
0004888	Other	-	WA LABOR & INDUSTRY
1304651	Other	-	NCPDP NUMBER

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 Lewiston, ID.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-06-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Shopko Stores Operating Co. LLC Eyewear Supplier · Lewiston, ID NPI 1003869678 Brenda Offerdahl Optometrist · Lewiston, ID NPI 1932154341 Daniel Evans Optometrist · Lewiston, ID NPI 1134151293 Neely Davis Pharmacist · Lewiston, ID NPI 1669728010 Margeret Roy Pharmacist · Lewiston, ID NPI 1679903660

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