Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Madison, WI, holding Type 2 (organization) NPI 1144276593 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1144276593 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 2602 SHOPKO DR, Madison, WI, 53704 |
| Phone | 6082496919 |
| Fax | 6082498046 |
| Enumeration date | 2006-05-26 |
| Last updated in NPPES | 2008-08-06 |
Authorized official
| Name | Michael Bettiga |
|---|---|
| Title | Sr. Vice President Health Services |
| 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 | 8627042 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33034200 | Medicaid | WI | — |
| 5116086 | Other | — | NCPDP NUMBER |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1144276593 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2602 SHOPKO DR, Madison, WI, 53704
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467402651 | Penny Iverson-Ammeraal | Individual | Optometrist | Madison, WI |
| 1518919513 | Shopko Stores Operating Co. LLC | Organization | Eyewear Supplier | Madison, WI |
| 1528312261 | Matthew Graf | Individual | Pharmacist | Madison, WI |
Verify this record
Cross-check NPI 1144276593 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
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Where is Shopko Stores Operating Co LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-06.