Active NPI
NS Health Care LLC
- Community/Retail Pharmacy
- Shorewood, WI
National Provider Identifier
1710518451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NS HEALTH CARE LLC
- Practice address
- 1421 E Capitol Dr
Shorewood, WI 53211-1956 - Phone
- (414) 962-9665
- Fax
- (414) 962-4590
- NPI assigned
- Jan 31, 2020
- 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
- Kyle Beyer, PHARMD
- Title
- Owner
- Phone
- (414) 232-4103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1421 E Capitol Dr
Shorewood, WI 53211-1956
Mailing address
1421 E Capitol Dr
Shorewood, WI 53211-1956
Phone (414) 962-9665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316009038 | Medicaid | WI |
Other names 1
- North Shore Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200623002231 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426470337 | Practice locations: Shorewood, WI |
National Provider Directory
National Provider Directory- Tax ID family
- LTC- North Shore Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Shorewood, WI
- NPI 1760230130
Locations
1421 E Capitol Dr
Shorewood, WI 53211
Phone (414) 962-9665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1710518451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 E CAPITOL DR",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532111956",
"telephone_number": "414-962-9665",
"fax_number": "414-962-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 E CAPITOL DR",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532111956",
"telephone_number": "414-962-9665",
"fax_number": "414-962-4590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NS HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-31",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "BEYER",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-232-4103",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316009038",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Shore Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shorewood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.