Active NPI
MD Group II LLC
- Community/Retail Pharmacy
- Pardeeville, WI
National Provider Identifier
1043480296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8824042
- Legal business name
- MD GROUP II LLC
- Practice address
- 117 N Main St
Pardeeville, WI 53954-8005 - Phone
- (608) 429-2325
- Fax
- (608) 429-4895
- NPI assigned
- Mar 4, 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
- Daniel Strause
- Title
- Owner
- Phone
- (920) 992-6800
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 8824042 | WI | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
117 N Main St
Pardeeville, WI 53954-8005
Mailing address
333 Lowville Rd
Rio, WI 53960-9437
Phone (920) 992-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36226000 | Medicaid | WI |
Other names 1
- PARDEEVILLE HOMETOWN PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240708004008 | WI | Part B Supplier - Pharmacy | 9537194469 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Verona, WI; Rio, WI; New Glarus, WI; Pardeeville, WI |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Fort Atkinson, WI
- NPI 1881733152
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1043480296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LOWVILLE RD",
"city": "RIO",
"state": "WI",
"postal_code": "539609437",
"telephone_number": "920-992-6800",
"fax_number": "920-614-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N MAIN ST",
"city": "PARDEEVILLE",
"state": "WI",
"postal_code": "539548005",
"telephone_number": "608-429-2325",
"fax_number": "608-429-4895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD GROUP II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-04",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "STRAUSE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-992-6800"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "8824042",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36226000",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PARDEEVILLE HOMETOWN PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PARDEEVILLE HOMETOWN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pardeeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.