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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Sioux Falls, SD · enumerated 2006 · authorized official Michael Bettiga, Sr. Vice President Health Services.

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

National Provider Identifier

1396796975

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 4501 E Arrowhead Pkwy, Sioux Falls, SD, 57110
Fax (605) 335-0991
Enumeration date May 16, 2006
Last updated in NPPES May 22, 2014

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332H00000X Eyewear Supplier Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 1001910 (SD) Primary

Authorized official

Name Michael Bettiga
Title Sr. Vice President Health Services

Other identifiers

Identifier Type State Issuer
432018200 Medicaid MN -
8503500 Medicaid SD -
8503502 Medicaid SD -
4304161 Other - NCPDP NUMBER
308498000 Medicaid MN -
9165130 Medicaid SD -
9165132 Medicaid SD -

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 (Sr. Vice President Health Services) 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 1396796975, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-22.