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 1922386275

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Brillion, 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1010 W Ryan St
Brillion, WI 54110-1079
Phone: (920) 429-4243
Fax: (920) 756-9262
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1922386275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 608
NPI enumeratedAugust 3, 2011
Last updated in NPPESFebruary 8, 2012
Mailing address1010 W Ryan St, Brillion, WI 54110-0000

Other providers in Brillion