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FROEDTERT HEALTH PHARMACY LLC
NPI 1669020855
Pharmacy - Community/Retail Pharmacy in West Bend, WI

Active since August 30, 2019
3200 PLEASANT VALLEY RD STE 1A, WEST BEND, WI 53095(262) 836-5411(262) 532-5105 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Froedtert Health Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FROEDTERT HEALTH PHARMACY LLC (NPI 1669020855), doing business as Froedtert Pharmacy 100, is a healthcare organization registered as a community/retail pharmacy in West Bend, Wisconsin and active in the NPI registry since August 2019. The organization lists Kevin Perhach, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1669020855
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFROEDTERT HEALTH PHARMACY LLC
Location Address3200 PLEASANT VALLEY RD STE 1AWest Bend, WI 53095-9274
Mailing AddressN86w12999 Nightingale WayMenomonee Falls, WI 53051-2102 · (262) 532-5163 · Fax (262) 532-5105
Phone(262) 836-5411
Fax(262) 532-5105
Organization SubpartNo
Authorized OfficialKevin PerhachBusiness Manager · (262) 532-5163
Enumeration DateAugust 30, 2019
✔ NPI 1669020855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
3200 PLEASANT VALLEY RD STE 1A, West Bend, WI 53095
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Other Names 1

Doing Business AsFroedtert Pharmacy 100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
94 services94 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
89 services89 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Froedtert Pharmacy 100 carries, from the Medicare DMEPOS supplier directory.

Froedtert Pharmacy 100

DMEPOS supplier · West Bend, WIOperated by Froedtert Health Pharmacy LLC
✔

Accepts Medicare assignment

Froedtert Pharmacy 100 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20419187
Medicare Participant SinceNovember 3, 2019
Supplier Location3200 Pleasant Valley Rd Ste 1AWest Bend, WI 53095
Phone(262) 836-5411
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC.
Pharmacy (Community/Retail Pharmacy)
3200 PLEASANT VALLEY RD STE 1A
WEST BEND, WI 53095
Washington County (414) 805-5113
DR. MINDY EICHINGER PHARMD
Pharmacist
3200 PLEASANT VALLEY RD STE 1A
WEST BEND, WI 53095
Washington County (262) 836-5411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Froedtert Health Pharmacy LLC's NPI number?

The NPI number for Froedtert Health Pharmacy LLC is 1669020855. It was assigned to this organization in the NPPES registry on August 30, 2019. The provider is doing business as Froedtert Pharmacy 100.

Where is Froedtert Health Pharmacy LLC located?

Froedtert Health Pharmacy LLC is located at 3200 Pleasant Valley Rd Ste 1A, West Bend, WI 53095. The listed phone number is (262) 836-5411.

What is Froedtert Health Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Froedtert Health Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Froedtert Pharmacy 100 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Froedtert Health Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Froedtert Health Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Froedtert Health Pharmacy LLC was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.