Organization Active NPI

My Key Pharmacy, LLC

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1447624085
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1219940 Issued in WI
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

Updated by the provider on Jan 19, 2016

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20160404001613 WI Part B Supplier - Pharmacy 8527365634 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.