Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum
Shopko Stores Operating Co LLC
Community/Retail Pharmacy in Council Bluffs, IA · enumerated 2008 · authorized official Michael Bettiga, Sr. Vice President Health Services.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1700042884
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Registry record
Taxonomy & classification
Authorized official
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623621 | Other | - | NCPDP |
| 10025730800 | Medicaid | NE | - |
| 1700042884 | Other | - | WELLMARK BCBS IA DME BLUE SHIELD ALLIANCE SELECT SELECT FIRST |
| 1700042884 | Medicaid | IA | - |
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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Providers at this address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-13.