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 1619928330

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

Licensed in
IA
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

615 S Monroe Ave
Mason City, IA 50401-5061
Phone: (641) 424-4302
Fax: (641) 424-8537
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 819 (IA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Eyewear Supplier Taxonomy 332H00000X

Record details

NPI number1619928330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Pharmacy 052
NPI enumeratedMay 15, 2006
Last updated in NPPESJune 6, 2014
Mailing address615 S Monroe Ave, Mason City, IA 50401-5061

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