Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Watertown, SD · 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

1962453845

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Registry record

Entity type Organization (Type 2)

Legal business name Shopko Stores Operating Co LLC

Other name <Unavail>

Practice address 700 9th Ave Se, Watertown, SD, 57201

Phone (605) 882-2011

Fax (605) 886-6715

Enumeration date May 15, 2006

Last updated in NPPES Jun 6, 2014

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

332H00000X Eyewear Supplier Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 1001907 (SD) Primary

Authorized official

Name Michael Bettiga

Title Sr. Vice President Health Services

Phone (920) 429-4297

Other identifiers

Identifier	Type	State	Issuer
8502832	Medicaid	SD	-
8502830	Medicaid	SD	-
4303880	Other	-	NCPDP NUMBER
979757200	Medicaid	MN	-
9165520	Medicaid	SD	-
260433000	Medicaid	MN	-
9165522	Medicaid	SD	-

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 2014-06-06. Verify at npiregistry.cms.hhs.gov.

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Watertown, SD.

Providers at this address

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Shopko Stores Operating Co. LLC Eyewear Supplier · Watertown, SD NPI 1942253711

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-06.