NPIMap

Organization Active NPI

B7 Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Kenosha, WI
National Provider Identifier
1689744286
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9012-042 Issued in WI
Legal business name
B7 PHARMACY, INC.
Practice address
9916 75TH St
Suite 203
Kenosha, WI 53142-7583
Phone
(262) 925-0201
Fax
(262) 925-0202
NPI assigned
Nov 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Alex Berce, PHARMD
Title
President
Phone
(262) 658-8124

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 4

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100930032518 WI DME Supplier - Pharmacy 5799853156 Practice locations: Kenosha, WI

National Provider Directory

National Provider Directory
Tax ID family
B7 Pharmacy Inc (5 organizations share this tax ID)

Locations

9916 75th St
Ste 203
Kenosha, WI 53142
Phone (262) 925-0201

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 9012-042 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

9916 75TH St
Suite 203
Kenosha, WI 53142-7583

Mailing address

9916 75TH St
Suite 203
Kenosha, WI 53142-7583
Phone (262) 925-0201

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
33278800MedicaidWI

Other names 1

NPPES NPI Registry
  • Good Value Pharmacy LTC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2024.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1689744286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 75TH ST",
            "address_2": "SUITE 203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-925-0201",
            "fax_number": "262-925-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST",
            "address_2": "SUITE 203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-925-0201",
            "fax_number": "262-925-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B7 PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "BERCE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-658-8124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9012-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33278800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Value Pharmacy LTC",
            "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 Nov 11, 2024; 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.