NPIMap

Organization Active NPI

B7 Pharmacy Inc

Doing business as Good Value Pharmacy Medcare West

  • Community/Retail Pharmacy
  • Kenosha, WI
National Provider Identifier
1245559301
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9007-42 Issued in WI
Legal business name
B7 PHARMACY INC
Doing business as
Good Value Pharmacy Medcare West
Practice address
9916 75TH St Ste 103
Kenosha, WI 53142-7583
Phone
(262) 925-0201
Fax
(262) 925-8373
NPI assigned
May 27, 2010
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alex Berce, PHARMDNPI 1306287354
Title
President, Pharmacist
Phone
(262) 925-0201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 9007-42 WI Primary

Addresses

Primary practice location

9916 75TH St Ste 103
Kenosha, WI 53142-7583

Mailing address

9916 75TH St Ste 103
Kenosha, WI 53142-7583
Phone (262) 925-0201

Other names 1

  • Good Value Pharmacy Medcare West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106001187 WI DME Supplier - Pharmacy 5799853156 Practice locations: Kenosha, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
B7 Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1245559301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 75TH ST STE 103",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-925-0201",
            "fax_number": "262-925-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST STE 103",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-925-0201",
            "fax_number": "262-925-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B7 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "BERCE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT, PHARMACIST",
        "authorized_official_telephone_number": "262-925-0201",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9007-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Value Pharmacy Medcare West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.