Shopko Stores Operating Co LLC

Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Layton, UT, holding Type 2 (organization) NPI 1770534851 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.

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NPI	1770534851
Entity type	Organization (Type 2)
Legal business name	Shopko Stores Operating Co LLC
Other name	<Unavail>
Practice address	1150 N MAIN ST, Layton, UT, 84041
Phone	8015460404
Fax	8015460765
Enumeration date	2006-05-13
Last updated in NPPES	2008-08-14

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	1313831703	UT

Other identifiers

Identifier	Type	State	Issuer
410985054005	Medicaid	UT	—
4606743	Other	—	NCPDP NUMBER

Copy-ready billing details

Provider: Shopko Stores Operating Co LLC
NPI: 1770534851
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1150 N MAIN ST, Layton, UT, 84041

Providers at this address

NPI	Name	Type	Specialty	Location
1790737229	Shopko Stores Operating Co. LLC	Organization	Eyewear Supplier	Layton, UT

Verify this record

Cross-check NPI 1770534851 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-14. Verify at npiregistry.cms.hhs.gov.

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Layton, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-14.