Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Albert Lea, MN, holding Type 2 (organization) NPI 1205880010 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205880010 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 2610 BRIDGE AVE, Albert Lea, MN, 56007 |
| Phone | 5073739424 |
| Fax | 5073730977 |
| Enumeration date | 2006-05-19 |
| Last updated in NPPES | 2014-07-25 |
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 | — | — |
| 332H00000X | Eyewear Supplier | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2628079 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820058100 | Medicaid | MN | — |
| 2416786 | Other | — | NCPDP NUMBER |
| 827463000 | Medicaid | MN | — |
| 0985630 | Medicaid | IA | — |
| 0722504 | Medicaid | IA | — |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1205880010 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2610 BRIDGE AVE, Albert Lea, MN, 56007
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144271750 | Daniel Cottrell | Individual | Optometrist | Albert Lea, MN |
| 1528010642 | Shopko Stores Operating Co. LLC | Organization | Eyewear Supplier | Albert Lea, MN |
| 1629398516 | Toni Watt | Individual | Optometrist | Albert Lea, MN |
| 1184041543 | John Denow | Individual | Pharmacist | Albert Lea, MN |
| 1265850085 | Andrew Rozinka | Individual | Pharmacist | Albert Lea, MN |
Verify this record
Cross-check NPI 1205880010 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
What is a Type 2 NPI?
What type of organization is Shopko Stores Operating Co LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-25.