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 Green Bay, Wisconsin. It is located at 2585 Lineville Rd, Green Bay and it's customer support contact number is 920-662-9450. 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 8597042 for Community/Retail Pharmacy in Wisconsin. 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:
2585 Lineville Rd, Green Bay, Wisconsin, 54313-7122
Phone:
920-662-9450
Fax:
920-662-1912
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:
1831144070
NPI Enumeration Date:
24 May, 2006
NPI Last Update On:
22 May, 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
8597042
Wisconsin
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
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
5128168
Other
Ncpdp Number
33279000
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
O20100930010763
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 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:
2585 Lineville Rd, Green Bay, Wisconsin
Zip:
54313-7122
Phone Number:
920-662-9450
Fax Number:
920-662-1912
Patients can reach Shopko Stores Operating Co Llc at 2585 Lineville Rd, Green Bay, Wisconsin or can call on customer care at 920-662-9450.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Green Bay, Wisconsin
Shopko Stores Operating Co Llc Address: 2430 E Mason St, Green Bay, WI Phone: 920-468-6044 Fax: 920-468-3490Walgreen Co Address: 2301 S Oneida St, Green Bay, WI Phone: 920-490-0420 Shopko Stores Operating Co Llc Address: 2320 Lineville Rd, Green Bay, WI Phone: 920-434-5846 Roundys Supermarkets Inc Speciality:Community/Retail Pharmacy Address: 1819 Main St, Green Bay, WI Phone: 920-469-3436 Fax: 920-469-3568Shopko Stores Operating Co Llc Address: 301 Bay Park Sq, Green Bay, WI Phone: 920-499-5889 Fax: 920-499-9215Custom Health Pharmacy Inc Speciality:Pharmacy Address: 844 Willard Dr Ste 7, Green Bay, WI Phone: 920-884-7345 Fax: 920-884-7346