Shopko Stores Operating Co LLC
NPI 1912933961 · Community/Retail Pharmacy · Jacksonville, IL
Shopko Stores Operating Co LLC is a Community/Retail Pharmacy organization in Jacksonville, IL (NPI 1912933961).
Provider details
- NPI number
- 1912933961
- 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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 140
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2014-05-22
Frequently asked questions
- What is Shopko Stores Operating Co LLC's NPI number?
- Shopko Stores Operating Co LLC's National Provider Identifier (NPI) is 1912933961, 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 Community/Retail Pharmacy (Suppliers).
- Where is Shopko Stores Operating Co LLC located?
- Shopko Stores Operating Co LLC's practice location on file with NPPES is 1964 W Morton Ave, Jacksonville, IL 62650-2621.
- 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 (217) 245-6259.
- 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, Sr. Vice President Health Services. 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 (1912933961) is active in the NPPES registry as of the last update on 2014-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.