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Shopko Stores Operating Co LLC

Durable Medical Equipment & Medical Supplies in Trenton, MO · enumerated 2007 · authorized official Michael Bettiga, Executive Vice President & Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184819765

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 2001 E 9th St, Trenton, MO, 64683
Phone (660) 359-2970
Fax (660) 359-2979
Enumeration date Sep 7, 2007
Last updated in NPPES May 23, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Michael Bettiga
Title Executive Vice President & Coo
Phone (920) 429-4297

Other identifiers

Identifier Type State Issuer
2630918 Other - NCPDP

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

Who is the authorized official for Shopko Stores Operating Co LLC?
NPPES lists Michael Bettiga (Executive Vice President & Coo) as the authorized official for this organization.
What is the NPI number for Shopko Stores Operating Co LLC?
The NPI for Shopko Stores Operating Co LLC is 1184819765, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-23.