Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Waukon, IA · enumerated 2006 · authorized official Michael Bettiga, Executive Vice President & Coo.

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

National Provider Identifier

1316990716

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 819 11th Ave Sw, Waukon, IA, 52172

Phone (563) 568-3668

Fax (563) 568-3693

Enumeration date May 18, 2006

Last updated in NPPES Oct 25, 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 & Coo

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
0495804	Medicaid	IA	-
0174805	Medicaid	IA	-
1619343	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.

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 Waukon, IA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-25.