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 1962453845

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

Licensed in
SD
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

700 9th Ave SE
Watertown, SD 57201-5222
Phone: (605) 882-2011
Fax: (605) 886-6715
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 1001907 (SD)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Eyewear Supplier Taxonomy 332H00000X

Record details

NPI number1962453845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Pharmacy 054
NPI enumeratedMay 15, 2006
Last updated in NPPESJune 6, 2014
Mailing address700 9th Ave Se, Watertown, SD 57201-5222

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