Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Riverdale, UT · 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

1952352932

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co LLC

Other name <Unavail>

Practice address 4060 Riverdale Rd, Riverdale, UT, 84405

Phone (801) 392-6800

Fax (801) 392-5389

Enumeration date May 13, 2006

Last updated in NPPES Aug 14, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 1327651703 (UT) Primary

Authorized official

Name Michael Bettiga

Title Sr. Vice President Health Services

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
4607353	Other	-	NCPDP NUMBER
410985054201	Medicaid	UT	-

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

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Riverdale, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-14. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Shopko Stores Operating Co. LLC Eyewear Supplier · Riverdale, UT NPI 1295788065

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-14.