Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Appleton, WI, holding Type 2 (organization) NPI 1588846976 since 2007. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588846976 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 2101 E EVERGREEN DR, Appleton, WI, 54913 |
| Phone | 9201111111 |
| Enumeration date | 2007-11-28 |
| Last updated in NPPES | 2008-07-25 |
Authorized official
| Name | Michael Bettiga |
|---|---|
| Title | Sr. Vice President Health Services |
| Phone | 9204294297 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36227100 | Medicaid | WI | — |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1588846976 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2101 E EVERGREEN DR, Appleton, WI, 54913
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114269388 | Jesica Schoen | Individual | Pharmacist | Appleton, WI |
| 1932545852 | Suzanne Luniak | Individual | Pharmacist | Appleton, WI |
| 1588004857 | Kenneth Walker | Individual | Pharmacist | Appleton, WI |
| 1639509391 | Bradley Schmechel | Individual | Pharmacist | Appleton, WI |
| 1285055699 | Amy Pankow | Individual | Pharmacist | Appleton, WI |
| 1942793179 | Shopko Stores Operating Co LLC | Organization | Eyewear Supplier | Appleton, WI |
Verify this record
Cross-check NPI 1588846976 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 2008-07-25.