Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Perry, IA · enumerated 2006 · authorized official Michael Bettiga, Executive Vice President and Coo.

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

National Provider Identifier

1902859317

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co LLC

Other name <Unavail>

Practice address 1305 141st St, Perry, IA, 50220

Phone (515) 465-5484

Fax (515) 465-5484

Enumeration date May 18, 2006

Last updated in NPPES Jan 28, 2013

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 Executive Vice President and Coo

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
0495820	Medicaid	IA	-
1619482	Other	-	NCPDP
0178251	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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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 2013-01-28. Verify at npiregistry.cms.hhs.gov.

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Perry, IA.

Providers at this address

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Mike Mckie Pharmacist · Perry, IA NPI 1558675983

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-28.