New Berlin Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8899042 Issued in WI

Legal business name

NEW BERLIN PHARMACY INC

Doing business as

New Berlin Pharmacy Inc.

Practice address

14105 W Greenfield Ave
New Berlin, WI 53151-1640

Phone

(262) 782-0460

Fax

(262) 782-4124

NPI assigned

Jan 8, 2009

Last updated

May 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Kilvinger

Title

Owner

Phone

(414) 881-2766

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Berlin Pharmacy Inc. Doing business as

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1396982666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511640",
            "telephone_number": "262-782-0460",
            "fax_number": "262-782-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511640",
            "telephone_number": "262-782-0460",
            "fax_number": "262-782-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BERLIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "KILVINGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-881-2766"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8899042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5131343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Berlin Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New Berlin Medical Services, LLC
• New Berlin Public School District
• Nezih Z. Hasanoglu, D.O., S.C. (Nezih Z. Hasanoglu, D.O.)
• Quinta Nfor, AGNP-DNP
• Jennifer J Nicpon, APNP
• Noble Senior Living at New Berlin LLC

• Community/Retail Pharmacy in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.