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

Shopko Stores Operating Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1144275868

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Sheboygan, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
3
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

518 S Taylor Dr
Sheboygan, WI 53081-4253
Phone: (920) 458-0040
Fax: (920) 458-3418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 8601042 (WI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1144275868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Pharmacy 116
NPI enumeratedMay 23, 2006
Last updated in NPPESAugust 14, 2008
Mailing address518 S Taylor Dr, Sheboygan, WI 53081-4253

Other providers in Sheboygan