Active NPI
Good Value Pharmacy LLC
Doing business as Prescriptions Plus
- Long Term Care Pharmacy
- West Allis, WI
National Provider Identifier
1164509949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 8268
- Legal business name
- GOOD VALUE PHARMACY LLC
- Doing business as
- Prescriptions Plus
- Practice address
- 10233 W Greenfield Ave
West Allis, WI 53214-3911 - Phone
- (414) 727-5750
- Fax
- (414) 727-5770
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard A. Pearson
- Title
- President
- Phone
- (414) 727-5750
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 8268 | WI | |
| Institutional Pharmacy | 3336I0012X | 8268 | WI | |
| Long Term Care Pharmacy | 3336L0003X | 8268 | WI | Primary |
| Specialty Pharmacy | 3336S0011X | 8268 | WI |
Addresses
Primary practice location
10233 W Greenfield Ave
West Allis, WI 53214-3911
Mailing address
10233 W Greenfield Ave
West Allis, WI 53214-3911
Phone (414) 727-5750
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33042600 | Medicaid | WI | |
| 0593400 | Medicaid | IA | |
| 10025290400 | Medicaid | NE | |
| 5116425 | Other | WI | NCPDP NUMBER |
Other names 1
- Prescriptions Plus
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1164509949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10233 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532143911",
"telephone_number": "414-727-5750",
"fax_number": "414-727-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10233 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532143911",
"telephone_number": "414-727-5750",
"fax_number": "414-727-5770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD VALUE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-727-5750",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "8268",
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "WI",
"license": "8268",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "WI",
"license": "8268",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "WI",
"license": "8268",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33042600",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0593400",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025290400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "5116425",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prescriptions Plus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.