Shopko Stores Operating Co Llc
Community/Retail Pharmacy
2101 E Evergreen Dr, Appleton
Wisconsin, 54913-9001
920-111-1111 Shopko Stores Operating Co Llc is a Community/Retail Pharmacy in Appleton, Wisconsin. It is located at 2101 E Evergreen Dr, Appleton and it's customer support contact number is 920-111-1111. The authorized person of Shopko Stores Operating Co Llc is Michael Bettiga, RPH who is Sr. Vice President Health Services of the pharmacy and his contact number is 920-429-4297. 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: | 2101 E Evergreen Dr, Appleton,
Wisconsin, 54913-9001 |
| Phone: | 920-111-1111 |
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: | Michael 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: | 1588846976 |
| NPI Enumeration Date: | 28 Nov, 2007 |
| NPI Last Update On: | 25 Jul, 2008 |
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 | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 36227100 | Medicaid | Wisconsin | |
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 | O20100930012017 | 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 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2101 E Evergreen Dr,
Appleton, Wisconsin |
| Zip: | 54913-9001 |
| Phone Number: | -- |
Patients can reach Shopko Stores Operating Co Llc at
2101 E Evergreen Dr, Appleton, Wisconsin or can
call on customer care at 920-111-1111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.