Shopko Stores Operating Co Llc is an authorized DME supplier for medicare equipments and products.
Shopko Stores Operating Co Llc is a Community/Retail Pharmacy in Worthington, Minnesota. It is located at 1755 N Humiston Ave, Worthington and it's customer support contact number is 507-376-9309. The authorized person of Shopko Stores Operating Co Llc is Mr. Michael J Bettiga, RPH who is Sr. Vice President Health Services of the pharmacy and his contact number is 920-429-4297. Active license number of Shopko Stores Operating Co Llc is 2628040 for Community/Retail Pharmacy in Minnesota. Shopko Stores Operating Co Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shopko Stores Operating Co Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Shopko Stores Operating Co Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Shopko Stores Operating Co Llc
Type:
Community/Retail Pharmacy
Location:
1755 N Humiston Ave, Worthington, Minnesota, 56187-1757
Phone:
507-376-9309
Fax:
507-372-7840
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Michael J Bettiga
Credentials:
RPH
Position:
Sr. Vice President Health Services
Contact Number:
920-429-4297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1063466852
NPI Enumeration Date:
19 May, 2006
NPI Last Update On:
21 Jan, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Stores Operating Co Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2628040
Minnesota
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
060258200
Medicaid
Minnesota
0509463
Medicaid
Iowa
788690100
Medicaid
Minnesota
166523500
Medicaid
Minnesota
2416801
Other
Ncpdp Number
0722512
Medicaid
Iowa
Medicare Enrollment:
Shopko Stores Operating Co Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0749292639
O20100930047071
Shopko Stores Operating Co Llc
DME SUPPLIER - PHARMACY
Products Available:
Shopko Stores Operating Co Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Diabetic Shoes & Inserts: Prefabricated
Prosthetic Lenses: Conventional Contact Lenses
Prosthetic Lenses: Conventional Eyeglasses
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1755 N Humiston Ave, Worthington, Minnesota
Zip:
56187-1757
Phone Number:
507-376-9309
Fax Number:
507-372-7840
Patients can reach Shopko Stores Operating Co Llc at 1755 N Humiston Ave, Worthington, Minnesota or can call on customer care at 507-376-9309.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.
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