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Shopko Stores Operating Co LLC

Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Rapid City, SD, holding Type 2 (organization) NPI 1952352544 since 2006. The authorized official on file is Michael Bettiga, Sr. Vice President Health Services.

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NPI 1952352544
Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 1845 HAINES AVE, Rapid City, SD, 57701
Phone 6053421055
Fax 6053420677
Enumeration date 2006-05-16
Last updated in NPPES 2013-10-22

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
332H00000X Eyewear Supplier Secondary
3336C0003X Community/Retail Pharmacy Primary 1001909 SD

Other identifiers

Identifier Type State Issuer
9161052 Medicaid SD
8503210 Medicaid SD
8503212 Medicaid SD
9161050 Medicaid SD
4304022 Other NCPDP NUMBER
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC
NPI: 1952352544
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1845 HAINES AVE, Rapid City, SD, 57701

Providers at this address

NPI Name Type Specialty Location
1699728766 Greg Sorensen Individual Optometrist Rapid City, SD
1306899174 Shopko Stores Operating Co. LLC Organization Eyewear Supplier Rapid City, SD

Verify this record

Cross-check NPI 1952352544 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 2013-10-22.