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 1588845929

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Lyons, Kansas. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1212 W Main
Lyons, KS 67554
Phone: (620) 257-2821
Fax: (620) 257-2207
Show map & directions

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

Specialties & licences

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

Record details

NPI number1588845929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President And Coo · (920) 429-4297
Other names Shopko Pharmacy 701
NPI enumeratedNovember 14, 2007
Last updated in NPPESJanuary 29, 2013
Mailing address1212 W Main St, Lyons, KS 67554-2428

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