Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies Store in Chubbuck, Idaho. It is situated at 4215 Yellowstone Ave, Chubbuck and its contact number is 208-237-6828. The authorized person of Shopko Stores Operating Co Llc is Mr. Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Other organizations associated with this store are Shopko Stores Operating Co Llc, Shopko Stores Operating Co. Llc, Primary license number for Shopko Stores Operating Co Llc is 2039CP (Community/Retail Pharmacy) in Idaho.
Shopko Stores Operating Co Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Complete Center Profile:
Shopko Stores Operating Co Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
| Specialization: | Durable Medical Equipment & Medical Supplies |
| Address: | 4215 Yellowstone Ave, Chubbuck,
Idaho, 83202-2419 |
| Phone: | 208-237-6828 |
| Fax: | 208-238-8371 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael J Bettiga |
| Position: | Sr. Vice President Health Services |
| Contact Number: | 920-429-4297 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shopko Stores Operating Co Llc center are as mentioned below.
| NPI Number: | 1255378907 |
| NPI Enumeration Date: | 01 Jun, 2006 |
| NPI Last Update On: | 06 Jun, 2014 |
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Shopko Stores Operating Co Llc | Durable Medical Equipment & Medical Supplies | 1255378907 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Stores Operating Co Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 2039CP | Idaho | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | 2039CP | Idaho | Secondary | |
| Eyewear Supplier (equipment, Not The Service) | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000123300 | Medicaid | Idaho | |
| 1304550 | Other | | Ncpdp Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shopko Stores Operating Co Llc
4215 Yellowstone Ave,
Chubbuck, Idaho |
| Zip: | 83202-2419 |
| Phone Number: | 208-237-6828 |
| Fax Number: | 208-238-8371 |
Patients can reach Shopko Stores Operating Co Llc at
4215 Yellowstone Ave, Chubbuck, Idaho or can
call to book an appointment on 208-237-6828.
Comments/ Reviews:
Patients can read all the reviews posted for Shopko Stores Operating Co Llc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Shopko Stores Operating Co Llc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.