Organization Active NPI

Streu's Pharmacy, Inc

  • Pharmacy
  • Green Bay, WI
National Provider Identifier
1104827146
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4744-042 Issued in WI
Legal business name
STREU'S PHARMACY, INC
Practice address
635 Main St
Green Bay, WI 54301-4918
Phone
(920) 437-0206
Fax
(920) 884-6932
NPI assigned
Aug 1, 2005
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Marie SchreinerNPI 1396119236
Title
Ceo
Phone
(920) 437-0206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4744-042 WI Primary

Addresses

Primary practice location

635 Main St
Green Bay, WI 54301-4918

Mailing address

635 Main St
Green Bay, WI 54301-4918
Phone (920) 437-0206

Other identifiers 1

IdentifierTypeStateIssuer
33073500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20081106000232 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2163581000 1 other NPI on this enrollment
Practice locations: Green Bay, WI
O20100930075440 WI DME Supplier - Pharmacy 2163581000 1 other NPI on this enrollment
Practice locations: Green Bay, WI
O20230627001832 WI MDPP Supplier - in-Person MDPP Supplier 2163581000 Practice locations: Green Bay, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0925468Streu's Pharmacy Inc635 Main St, Green Bay, WI 54301Certificate of waiverFeb 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Streus Pharmacy Inc635 Main St, Green Bay, WI 54301-4918(920) 437-0206 Immunosuppressive Drugs|Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Prefabricated (Non-Custom… Accepts assignmentParticipating since May 9, 2023

National Provider Directory

National Provider Directory

Locations

528 N Monroe Ave
Green Bay, WI 54301
Phone (920) 437-0206

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1104827146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014918",
            "telephone_number": "920-437-0206",
            "fax_number": "920-884-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014918",
            "telephone_number": "920-437-0206",
            "fax_number": "920-884-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREU'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-437-0206"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "4744-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33073500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.