Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shopko Institutional Care Services Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1053621243

Shopko Institutional Care Services Co LLC is a Durable Medical Equipment & Medical Supplies in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3701 E Evergreen Dr Ste 1000
Appleton, WI 54913-7402
Phone: (920) 739-7855
Fax: (920) 739-3922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 9041042 (WI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1053621243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President And Coo · (920) 429-4297
Other names Shopko Rxcare
NPI enumeratedOctober 21, 2010
Last updated in NPPESNovember 1, 2011
Mailing address3701 E Evergreen Dr, Ste 1000, Appleton, WI 54913-7402

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