Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Duluth, MN · enumerated 2006 · authorized official Michael Bettiga, Sr. Vice President Health Services.

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

National Provider Identifier

1932153749

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co LLC

Other name <Unavail>

Practice address 801 W Central Entrance, Duluth, MN, 55811

Phone (218) 727-7139

Fax (218) 727-6240

Enumeration date May 19, 2006

Last updated in NPPES Aug 27, 2013

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

332H00000X Eyewear Supplier Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 2628082 (MN) Primary

Authorized official

Name Michael Bettiga

Title Sr. Vice President Health Services

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
022715300	Medicaid	MN	-
2421016	Other	-	NCPDP NUMBER
561447000	Medicaid	MN	-
33194800	Medicaid	WI	-
375038800	Medicaid	MN	-

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 → Validate an NPI →

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 2013-08-27. Verify at npiregistry.cms.hhs.gov.

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Duluth, MN.

Providers at this address

Browse all →

Amy Onken Optometrist · Duluth, MN NPI 1194776112 Shopko Stores Operating Co. LLC Eyewear Supplier · Duluth, MN NPI 1295788818 Janelle Strom Optometrist · Duluth, MN NPI 1053668210 Jodie Little Geriatric Pharmacist · Duluth, MN NPI 1679990857 Lisa Smith Pharmacist · Duluth, MN NPI 1326466178

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-08-27.