Benevolent Corporation Cedar Community
NPI 1154321602ActiveOrganization· Pharmacy· West Bend, WI
Pharmacy in West Bend, Wisconsin, registered in NPPES in July 2005, part of Benevolent Corporation Cedar Community. The authorized official on file is Joseph T. Pichler, Vice President Of Finance. Medicare paid $2,933 for services to 13 patients in 2024.
Overview
| NPI | 1154321602 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Benevolent Corporation Cedar Community |
| NPI issued | Jul 27, 2005 |
| Last updated in NPPES | Dec 30, 2020 |
| Certified by provider | Dec 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 5115503 | WI |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 5115503 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (WI); Part B Supplier - Pharmacy (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 38 across 6 procedure codes |
| Paid by Medicare | $2,933 |
Other Pharmacy providers in West Bend
- 1023033750
- 1164456380
- 1093720989
- 1598085367