Active NPI
Bel-Regional Home Medical Inc
- Community/Retail Pharmacy
- Green Bay, WI
National Provider Identifier
1760628655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8904-42
- Legal business name
- BEL-REGIONAL HOME MEDICAL INC
- Practice address
- 3263 Eaton Rd
Green Bay, WI 54311-6830 - Phone
- (920) 433-6790
- Fax
- (920) 433-6789
- NPI assigned
- Dec 23, 2008
- 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
- Densie K Stroobants
- Title
- Credentialling Specialist
- Phone
- (920) 433-7864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 8904-42 | WI | Primary |
Addresses
Primary practice location
3263 Eaton Rd
Green Bay, WI 54311-6830
Mailing address
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5131317 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 7816-42 | Other | WI | WISCONSIN LICENSE |
Other names 1
- Bellin In Store Meds & More
National Provider Directory
National Provider DirectoryLocations
1220 E Mason St
Green Bay, WI 54301
Phone (920) 432-7801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1760628655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3263 EATON RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116830",
"telephone_number": "920-433-6790",
"fax_number": "920-433-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 EATON RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116830",
"telephone_number": "920-433-6790",
"fax_number": "920-433-6789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEL-REGIONAL HOME MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-23",
"last_updated": "2021-10-27",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "STROOBANTS",
"authorized_official_first_name": "DENSIE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CREDENTIALLING SPECIALIST",
"authorized_official_telephone_number": "920-433-7864"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "8904-42",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5131317",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSE",
"identifier": "7816-42",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bellin In Store Meds & More",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.