{"npi":"1982922860","type":"NPI-2","status":"active","name":{"display":"Shopko Stores Operating Co LLC","other":[],"organization_name":"SHOPKO STORES OPERATING CO LLC","authorised_official":"Michael Bettiga"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"332H00000X","description":"Eyewear Supplier","primary":false,"state":"WI","license":"456-1020161146-03"},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"WI","license":"9005-042"}]},"addresses":[{"purpose":"LOCATION","street_1":"126 CHARLES ST","city":"OCONTO","state":"WI","postal_code":"541539446","country_code":"US","phone":"9208349800","fax":"9208349801"},{"purpose":"MAILING","street_1":"126 CHARLES ST","city":"OCONTO","state":"WI","postal_code":"541539446","country_code":"US","phone":"9208349800","fax":"9208349801"}],"license":{"state":"WI","number":"9005-042"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1982922860","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-05-17","last_updated":"2011-07-26","_meta":{"source":"NPPES","snapshot_date":"2011-07-26","doc_url":"https://findmynpi.com/api"}}