Shopko Stores Operating Co LLC

Shopko Stores Operating Co LLC is a healthcare organization registered as Eyewear Supplier in Glencoe, MN, holding Type 2 (organization) NPI 1356684245 since 2013. The authorized official on file is Michael Bettiga, Executive Vice President and Coo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1356684245
Entity type	Organization (Type 2)
Legal business name	Shopko Stores Operating Co LLC
Other name	<Unavail>
Practice address	3225 10TH ST E, Glencoe, MN, 55336
Phone	3208645194
Enumeration date	2013-03-29
Last updated in NPPES	2013-03-29

Authorized official

Name	Michael Bettiga
Title	Executive Vice President and Coo
Phone	9204294297

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332H00000X	Eyewear Supplier	Primary	—	—

Copy-ready billing details

Provider: Shopko Stores Operating Co LLC
NPI: 1356684245
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 3225 10TH ST E, Glencoe, MN, 55336

Providers at this address

NPI	Name	Type	Specialty	Location
1073567558	Shopko Stores Operating Co LLC	Organization	Community/Retail Pharmacy	Glencoe, MN
1881012532	Matthew Kelly	Individual	Pharmacist	Glencoe, MN

Verify this record

Cross-check NPI 1356684245 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-03-29. Verify at npiregistry.cms.hhs.gov.

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Glencoe, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-03-29.