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

Shopko Stores Operating Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1831477181

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Kiel, Wisconsin. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
4
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

1120 State Road 67
Kiel, WI 53042-1630
Phone: (920) 429-4243
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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
Eyewear Supplier Taxonomy 332H00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1831477181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 609
NPI enumeratedAugust 3, 2011
Last updated in NPPESFebruary 2, 2012
Mailing address1120 State Road 67, Kiel, WI 53042-1630

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