ShopKo Pharmacy 017 – Community/Retail Pharmacy, NPI 1609829464

ShopKo Pharmacy 017 is a healthcare provider. based in Saint cloud, Minnesota. specializing in Community/Retail Pharmacy. The organization holds a License No. 2627960 (MN). The NPI Number for ShopKo Pharmacy 017 is 1609829464

Main info

Organization
Name
ShopKo Pharmacy 017
NPI
1609829464
Phone
(320) 253-3280
Address
4161 2ND ST S
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
19 May 2006
Last Update Date
22 May 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ShopKo Pharmacy 017

  • 2nd Street South, Saint Cloud, Stearns County, Minnesota, 56301, United States

    SAINT CLOUD, MN 563013761

    Phone: (320) 253-3280

    Fax: (320) 253-5790

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56301)

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Reviews

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Frequently asked questions

Does ShopKo Pharmacy 017 share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ShopKo Pharmacy 017 uses 1609829464.
Is ShopKo Pharmacy 017 still practicing?
ShopKo Pharmacy 017 is currently listed as active in the public NPI registry.
What taxonomy line describes ShopKo Pharmacy 017?
For research purposes, treat ShopKo Pharmacy 017 as Community/Retail Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
Does ShopKo Pharmacy 017 list a practice location?
Patients near Saint Cloud, Minnesota may find ShopKo Pharmacy 017 in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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