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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Glenwood, IA · enumerated 2006 · authorized official Michael Bettiga, Executive Vice President and Coo.

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

National Provider Identifier

1982657912

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 902 S Locust St, Glenwood, IA, 51534
Phone (712) 527-9200
Fax (712) 527-5836
Enumeration date May 19, 2006
Last updated in NPPES Oct 17, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Michael Bettiga
Title Executive Vice President and Coo
Phone (920) 429-4297

Other identifiers

Identifier Type State Issuer
1620853 Other - NCPDP
0495929 Medicaid IA -
10025460600 Medicaid NE -
0223735 Medicaid IA -

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

What is the NPI number for Shopko Stores Operating Co LLC?
The NPI for Shopko Stores Operating Co LLC is 1982657912, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shopko Stores Operating Co LLC?
NPPES lists Michael Bettiga (Executive Vice President and Coo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-17.