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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Palmyra, MO · enumerated 2006 · authorized official Michael Bettiga, Excutive Vice President & Coo.

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

National Provider Identifier

1518905991

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 502 E Ross St, Palmyra, MO, 63461
Phone (573) 769-1115
Fax (573) 769-1116
Enumeration date Jun 4, 2006
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 Excutive Vice President & Coo
Phone (920) 429-7297

Other identifiers

Identifier Type State Issuer
2635223 Other — NCPDP

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

What type of organization is Shopko Stores Operating Co LLC?
Shopko Stores Operating Co LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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