OrganizationActive
Shopko Stores Operating Co LLC
NPI 1003855057 · Community/Retail Pharmacy · Spokane, WA
Provider details
- NPI number
- 1003855057
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Bettiga, Sr. Vice President Health Services(920) 429-4297
Specialties & taxonomies
Suppliers
Suppliers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9520 N Newport Hwy
Spokane, WA 99218-1219
Phone: (509) 466-7414
Fax: (509) 466-0546
Street-level locationGet directions
Mailing address
9520 N Newport Hwy
Spokane, WA 99218-1219
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 066
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2015-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.