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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Ainsworth, NE · enumerated 2007 · authorized official Michael Bettiga, Executive Vice President and Coo.

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

National Provider Identifier

1295921435

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 1511 East 4th, Ainsworth, NE, 69210
Phone (402) 387-1533
Fax (402) 387-1749
Enumeration date Sep 21, 2007
Last updated in NPPES Dec 31, 2012

Taxonomy & classification

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

Authorized official

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

Other identifiers

Identifier Type State Issuer
8535370 Medicaid SD -
10025566200 Medicaid NE -

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 and 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 1295921435, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-31.