B7 Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Kenosha, WI
NPI 1285704890 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1285704890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 9245-42 (WI)
- Legal business name
- B7 PHARMACY, INC.
- Practice address
- 3207 80TH St
Suite 100
Kenosha, WI 53142-4908 - Phone
- (262) 697-5744
- Fax
- (262) 697-5749
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex Berce, PHARMD
- Title
- President
- Phone
- (262) 658-8124
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Practitioners 4
-
Stephanie Lee Schmitz, PHARMD
-
Andrea A Wood, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0949954 | Good Value Pharmacy | Certificate of waiver | Aug 13, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| B7 Pharmacy Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081013000185 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 5799853156 |
1 other NPI on this enrollment Practice locations: Kenosha, WI |
| O20100930053917 | WI | DME Supplier - Pharmacy | 5799853156 | Practice locations: Kenosha, WI |
National Provider Directory
- Tax ID family
- B7 Pharmacy Inc
Locations
3207 80th St
#100
Kenosha, WI 53142
Phone (262) 697-5744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 9245-42 | WI | Yes |
Addresses
Primary practice location
3207 80TH St
Suite 100
Kenosha, WI 53142-4908
Mailing address
3207 80TH St
Suite 100
Kenosha, WI 53142-4908
Phone (262) 697-5744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33249800 | Medicaid | WI |
Other names
- Good Value Pharmacy
Other providers in Kenosha, WI
- Chanel Ayers
- Jennifer L Ayers
- Theodore Azar
- B7 Pharmacy Inc
- B7 Pharmacy Inc
- B7 Pharmacy, Inc.
- Shellie K Babcock
- Pushparanee Babusukumar
- Back-in-Action Physical Therapy Center of Kenosha, LTD.
- Alyssa Backhaus
All providers in Kenosha, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.