SHOPKO STORES OPERATING CO LLC NPI 1386825248

NPI Information

  • NPI: 1386825248
  • Provider Name: SHOPKO STORES OPERATING CO LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: SHOPKO PHARMACY 706
  • Address: 111 LEROUX DR
    DONIPHAN, MO
    ZIP 63935
  • Phone: (573) 996-2311

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NPI Details

SHOPKO STORES OPERATING CO LLC is a durable medical equipment medical supplies in Doniphan, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SHOPKO STORES OPERATING CO LLC NPI is 1386825248. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Pharmacy 706.

The provider's business location address is:

111 LEROUX DR
DONIPHAN, MO
ZIP 63935
Phone: (573) 996-2311
Fax: (573) 996-7415

The provider's authorized official is Michael Bettiga .
The authorized official title is Excutive Vice President & Coo and has the following contact phone number (920) 429-4297.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 5/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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