OrganizationActive
Shopko Stores Operating Co LLC
NPI 1386841385 · Community/Retail Pharmacy · Green Bay, WI
Provider details
- NPI number
- 1386841385
- 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
Profile Score
Detailed profile(89/100 index)
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
700 Pilgrim Way
Green Bay, WI 54304-5263
Phone: (920) 429-4218
Fax: (920) 429-5218
Street-level locationGet directions
Mailing address
700 Pilgrim Way
Green Bay, WI 54304-5263
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2010-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.