1. Home
  2. Directory
  3. Wisconsin
  4. West Bend
  5. Pharmacy
  6. NPI Profile

WEST BEND PHARMACY
NPI 1871683045
Pharmacy - Community/Retail Pharmacy in West Bend, WI

Active since October 16, 2006
1709 S 18TH AVE, WEST BEND, WI 53095(262) 338-6444(262) 338-3635 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Bend Pharmacy NPPES

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

WEST BEND PHARMACY (NPI 1871683045) is a healthcare organization registered as a community/retail pharmacy in West Bend, Wisconsin and active in the NPI registry since October 2006. The organization lists Douglas Berry, President, as its authorized official.

NPPES Registry Identity

NPI1871683045
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBERRY PHARMACY AND WELLNESS SERVICES LLC
Location Address1709 S 18TH AVEWest Bend, WI 53095-7808
Mailing AddressPo Box 553West Bend, WI 53095-0553 · (262) 338-6444 · Fax (262) 338-3635
Phone(262) 338-6444
Fax(262) 338-3635
Organization SubpartNo
Authorized OfficialDouglas BerryPresident · (262) 338-6444
Enumeration DateOctober 16, 2006
Last NPPES UpdateNovember 23, 2010
✔ NPI 1871683045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 879242
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.
1709 S 18TH AVE, West Bend, WI 53095
Open in Google Maps ↗

Other Names 1

Doing Business AsWest Bend Pharmacy

Other Identifiers 3

Other5110515Ncpdp Provider Identification Number
Medicaid36222100WI
Medicare NSC6082820001

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.

DR. LAURA MARIE HANTAK PHARMD
Pharmacist
1709 S 18TH AVE
WEST BEND, WI 53095
Washington County (262) 338-6444
HOME CARE MEDICAL, INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1709 S 18TH AVE
WEST BEND, WI 53095
Washington County (262) 786-9870

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 Berry Pharmacy And Wellness Services LLC's NPI number?

The NPI number for Berry Pharmacy And Wellness Services LLC is 1871683045. It was assigned to this organization in the NPPES registry on October 16, 2006. The provider is doing business as West Bend Pharmacy.

Where is Berry Pharmacy And Wellness Services LLC located?

Berry Pharmacy And Wellness Services LLC is located at 1709 S 18th Ave, West Bend, WI 53095. The listed phone number is (262) 338-6444.

What is Berry Pharmacy And Wellness Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Berry Pharmacy And Wellness Services LLC was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.