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 1982865945

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Sussex, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
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

N 66 W 25201 Cth V V
Sussex, WI 53089
Phone: (262) 820-2611
Fax: (262) 820-2592
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
Eyewear Supplier Taxonomy 332H00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1982865945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr Vice President Health Services · (920) 429-4297
Other names Shopko Pharmacy 178
NPI enumeratedJune 23, 2008
Last updated in NPPESJuly 25, 2014
Mailing addressN66 W 25201 Cth V V, Sussex, WI 53089

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