OrganizationActive
Shopko Stores Operating Co LLC
NPI 1669401899 · Community/Retail Pharmacy · Hoopeston, IL
Provider details
- NPI number
- 1669401899
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Bettiga, Executive Vice President & Coo(920) 429-4297
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
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
19 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
1020 W Chestnut St
Hoopeston, IL 60942-1967
Phone: (217) 283-4456
Fax: (217) 283-4634
Street-level locationGet directions
Mailing address
Po Box 1450
Minneapolis, MN 55485-5891
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 634
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2012-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.