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Shopko Stores Operating Co LLC

Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Madison, SD, holding Type 2 (organization) NPI 1942253802 since 2006. The authorized official on file is Michael Bettiga, Executive Vice President & Coo.

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NPI 1942253802
Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 800 S WASHINGTON AVE, Madison, SD, 57042
Phone 6052566169
Fax 6052566461
Enumeration date 2006-05-19
Last updated in NPPES 2012-10-01

Authorized official

Name Michael Bettiga
Title Executive Vice President & Coo
Phone 9204294297

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 100-1902 SD
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC
NPI: 1942253802
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 800 S WASHINGTON AVE, Madison, SD, 57042

Verify this record

Cross-check NPI 1942253802 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Shopko Stores Operating Co LLC?
Shopko Stores Operating Co LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-10-01.