OrganizationActive
Shopko Institutional Care Services Co LLC
NPI 1053621243 · Long Term Care Pharmacy · Appleton, WI
Shopko Institutional Care Services Co LLC is a Long Term Care Pharmacy organization in Appleton, WI (NPI 1053621243).
Provider details
- NPI number
- 1053621243
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Bettiga, Executive Vice President and Coo(920) 429-4297
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
3701 E Evergreen Dr
Ste 1000
Appleton, WI 54913-7402
Phone: (920) 739-7855
Fax: (920) 739-3922
Street-level locationGet directions
Mailing address
3701 E Evergreen Dr
Appleton, WI 54913-7402
Other names (DBA / former)
- Doing business as
- Shopko Rxcare
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2011-11-01
Frequently asked questions
- What is Shopko Institutional Care Services Co LLC's NPI number?
- Shopko Institutional Care Services Co LLC's National Provider Identifier (NPI) is 1053621243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shopko Institutional Care Services Co LLC?
- Shopko Institutional Care Services Co LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Shopko Institutional Care Services Co LLC located?
- Shopko Institutional Care Services Co LLC's practice location on file with NPPES is 3701 E Evergreen Dr, Appleton, WI 54913-7402.
- What is Shopko Institutional Care Services Co LLC's phone number?
- The practice phone number listed in the NPPES registry for Shopko Institutional Care Services Co LLC is (920) 739-7855.
- Who is the authorized official for Shopko Institutional Care Services Co LLC?
- The authorized official listed on Shopko Institutional Care Services Co LLC's NPPES record is Michael Bettiga, Executive Vice President and Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shopko Institutional Care Services Co LLC's NPI active?
- Yes — Shopko Institutional Care Services Co LLC's NPI (1053621243) is active in the NPPES registry as of the last update on 2011-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.