Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Princeton, MN, holding Type 2 (organization) NPI 1376842286 since 2011. The authorized official on file is Michael Bettiga, Executive Vp & Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376842286 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 705 NORTHLAND DR, Princeton, MN, 55371 |
| Phone | 7633893111 |
| Fax | 7633891621 |
| Enumeration date | 2011-03-17 |
| Last updated in NPPES | 2011-12-09 |
Authorized official
| Name | Michael Bettiga |
|---|---|
| Title | Executive Vp & Coo |
| Phone | 9204294297 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | 263663 | MN |
| 3336C0003X | Community/Retail Pharmacy | Primary | 263663 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2430786 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 1376842286 | Medicaid | MN | — |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1376842286 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 705 NORTHLAND DR, Princeton, MN, 55371
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003869272 | Pamida Stores Operating Co LLC | Organization | Community/Retail Pharmacy | Princeton, MN |
| 1700043734 | Jacalyn Nelson | Individual | Pharmacist | Princeton, MN |
Verify this record
Cross-check NPI 1376842286 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 2011-12-09.