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Shopko Stores Operating Co LLC

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

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

National Provider Identifier

1508818519

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 100 Texas Trail Dr, Ogallala, NE, 69153
Phone (308) 284-8111
Fax (308) 284-6911
Enumeration date May 17, 2006
Last updated in NPPES Jan 23, 2013

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
2814704 Other — NCPDP
47062642604 Medicaid NE —
10025417300 Medicaid NE —

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 (Executive Vice President & Coo) 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 1508818519, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-23.