Shopko Stores Operating Co. Llc
Durable Medical Equipment & Medical Supplies
105 N Main St, East Peoria
Illinois, 61611-2543
309-699-0632 309-694-6426
Shopko Stores Operating Co. Llc is a Durable Medical Equipment & Medical Supplies in East Peoria, Illinois. It is located at 105 N Main St, East Peoria and it's customer support contact number is 309-699-0632. 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.
Shopko Stores Operating Co. Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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: | Durable Medical Equipment & Medical Supplies |
| Location: | 105 N Main St, East Peoria,
Illinois, 61611-2543 |
| Phone: | 309-699-0632 |
| Fax: | 309-694-6426 |
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: | 1972539740 |
| NPI Enumeration Date: | 24 Jun, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
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 | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Community/Retail Pharmacy | | Illinois | 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 |
| 1472048 | Other | | Ncpdp Number |
| 410985054173 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 105 N Main St,
East Peoria, Illinois |
| Zip: | 61611-2543 |
| Phone Number: | 309-699-0632 |
| Fax Number: | 309-694-6426 |
Patients can reach Shopko Stores Operating Co. Llc at
105 N Main St, East Peoria, Illinois or can
call on customer care at 309-699-0632.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.