Shopko Stores Operating Co LLC
Pharmacy, Community/Retail Pharmacy in Beatrice, NE. Organization (NPI-2).
Details
- NPI
- 1427001098
- Entity type
- Organization (NPI-2)
- Legal business name
- Shopko Stores Operating Co LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2006
- Last updated
- Aug 13, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Shopko Pharmacy 658 (Doing Business As)
Practice location
123 N 24th StBeatrice, NE 68310-3426
Phone 402-223-2240 · Fax 402-223-2250
Mailing address
123 N 24th StBeatrice, NE 68310-3426
Phone 402-223-2240 · Fax 402-223-2250
Authorized official
Michael Bettiga
Executive Vice President & Coo
9204294297
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Community/Retail Pharmacy providers in Beatrice · All 586 providers in Beatrice
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