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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Thayne, WY · enumerated 2008 · authorized official Michael Bettiga, Executive Vice President & Coo.

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

National Provider Identifier

1508042425

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 190 North Main, Thayne, WY, 83127
Fax (307) 883-4603
Enumeration date Jan 10, 2008
Last updated in NPPES Jul 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 & Coo

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-07-31. Verify at npiregistry.cms.hhs.gov.
Where is Shopko Stores Operating Co LLC located?
The practice location on file with NPPES is in Thayne, WY.

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