Dyson J Ahola
Individual provider Active NPI Pharmacist · Kenosha, WI
NPI 1003708207 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1003708207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23107-40 (WI)
- Practice address
- 3207 80TH St # 100
Kenosha, WI 53142-4949 - Phone
- (262) 697-5744
- Fax
- (262) 697-5749
- NPI assigned
- Jul 21, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23107-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B7 Pharmacy Inc | Past |
Accepting new patients | |
| B7 Pharmacy, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23107-40 | WI | Yes |
Addresses
Primary practice location
3207 80TH St # 100
Kenosha, WI 53142-4949
Mailing address
3207 80TH St # 100
Kenosha, WI 53142-4949
Phone (262) 697-5744
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.