Shopko Stores Operating Co LLC
NPI 1386825248 · Durable Medical Equipment & Medical Supplies · Doniphan, MO
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies organization in Doniphan, MO (NPI 1386825248).
Provider details
- NPI number
- 1386825248
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Shopko Pharmacy 706
- Organization subpart
- Yes
- Authorized official
- Michael Bettiga, Excutive Vice President & Coo(920) 429-4297
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 706
Registry dates
- Enumerated
- 2007-11-20
- Last updated
- 2012-05-23
Frequently asked questions
- What is Shopko Stores Operating Co LLC's NPI number?
- Shopko Stores Operating Co LLC's National Provider Identifier (NPI) is 1386825248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shopko Stores Operating Co LLC?
- Shopko Stores Operating Co LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Shopko Stores Operating Co LLC located?
- Shopko Stores Operating Co LLC's practice location on file with NPPES is 111 Leroux Dr, Doniphan, MO 63935.
- What is Shopko Stores Operating Co LLC's phone number?
- The practice phone number listed in the NPPES registry for Shopko Stores Operating Co LLC is (573) 996-2311.
- Who is the authorized official for Shopko Stores Operating Co LLC?
- The authorized official listed on Shopko Stores Operating Co LLC's NPPES record is Michael Bettiga, Excutive Vice President & Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shopko Stores Operating Co LLC's NPI active?
- Yes — Shopko Stores Operating Co LLC's NPI (1386825248) is active in the NPPES registry as of the last update on 2012-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.