Active NPI
My Key Pharmacy, LLC
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1447624085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1219940
- Legal business name
- MY KEY PHARMACY, LLC
- Practice address
- 7114 W Capitol Dr
Milwaukee, WI 53216-2052 - Phone
- (414) 305-8795
- Fax
- (414) 616-8906
- NPI assigned
- Nov 19, 2015
- 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
- Dr. Edward K Her, PHARM.D.
- Title
- Owner
- Phone
- (414) 305-8795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1219940 | WI | Primary |
Addresses
Primary practice location
7114 W Capitol Dr
Milwaukee, WI 53216-2052
Mailing address
N7858 Ferris Rd
Theresa, WI 53091-9724
Phone (414) 305-8795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160404001613 | WI | Part B Supplier - Pharmacy | 8527365634 | Practice locations: Milwaukee, WI |
National Provider Directory
National Provider DirectoryLocations
7114 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 210-5005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1447624085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N7858 FERRIS RD",
"city": "THERESA",
"state": "WI",
"postal_code": "530919724",
"telephone_number": "414-305-8795",
"fax_number": "413-616-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7114 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162052",
"telephone_number": "414-305-8795",
"fax_number": "414-616-8906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY KEY PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "HER",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-305-8795",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WI",
"license": "1219940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.