Shopko Stores Operating Co LLC
Organization Active NPI Community/Retail Pharmacy · Falls City, NE
NPI 1376596940 · NPPES record last updated Jul 31, 2012
Key facts
- NPI
- 1376596940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2693 (NE)
- Legal business name
- SHOPKO STORES OPERATING CO LLC
- Practice address
- 1300 Stone St
Falls City, NE 68355-2657 - Phone
- (402) 245-5282
- Fax
- (402) 245-5281
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Bettiga, RPH
- Title
- Excutive Vice President & Coo
- Phone
- (920) 429-4297
Member of 1
National Provider Directory
Locations
1300 Stone St
Falls City, NE 68355
Phone (402) 245-5282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2693 | NE | Yes |
Addresses
Primary practice location
1300 Stone St
Falls City, NE 68355-2657
Mailing address
1300 Stone St
Falls City, NE 68355-2657
Phone (402) 245-5282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2813574 | Other | NCPDP |
Other names
- Shopko Pharmacy 704
Other providers in Falls City, NE
- Elisa A Rottinghaus
- Allison Michele Sanders
- Hayden Schawang
- Tammy Lynn Schilling-Montgomery
- Virginia Schmidt
- Tanya M Shubert
- Matthew James Simpson
- Amanda C Sipple
- Jeffrey Dean Smith
- Special Services, Inc.
All providers in Falls City, NE · Community/Retail Pharmacy in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.