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Shopko Stores Operating Co LLC

Shopko Stores Operating Co LLC is a healthcare organization registered as Eyewear Supplier in Columbus, WI, holding Type 2 (organization) NPI 1821343401 since 2012. The authorized official on file is Michael Bettiga, Executive Vice President and Coo.

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NPI 1821343401
Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 200 COMMERCE DR, Columbus, WI, 53925
Phone 9204297137
Enumeration date 2012-07-19
Last updated in NPPES 2012-07-27

Authorized official

Name Michael Bettiga
Title Executive Vice President and Coo
Phone 9204294297

Taxonomy & classification

Taxonomy code Specialty Primary License State
332H00000X Eyewear Supplier Primary
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC
NPI: 1821343401
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 200 COMMERCE DR, Columbus, WI, 53925

Providers at this address

NPI Name Type Specialty Location
1497003594 Shopko Stores Operating Co LLC Organization Community/Retail Pharmacy Columbus, WI
1174876882 Nicholas Sharrow Individual Pharmacist Columbus, WI
1447594478 Jamine Kurth Individual Pharmacist Columbus, WI

Verify this record

Cross-check NPI 1821343401 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 2012-07-27. Verify at npiregistry.cms.hhs.gov.
Where is Shopko Stores Operating Co LLC located?
The practice location on file with NPPES is in Columbus, WI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-07-27.