Modern Apothecary, LLC
NPI 1407265598ActiveOrganization· Pharmacy· Kenosha, WI
Pharmacy in Kenosha, Wisconsin, registered in NPPES in August 2014. The authorized official on file is Erin E. Merritt, PHARMD, Owner. Medicare paid $22,152 for services to 85 patients in 2024.
Overview
| NPI | 1407265598 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2014 |
| Last updated in NPPES | Jan 31, 2024 |
| Certified by provider | Jan 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 9274-42 | WI |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
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 - Pharmacy (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 282 across 9 procedure codes |
| Paid by Medicare | $22,152 |
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