Organization Active NPI

LTC RX-Wausau LLC

  • Long Term Care Pharmacy
  • Wausau, WI
National Provider Identifier
1386564797
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LTC RX-WAUSAU LLC
Practice address
555 S 72ND Ave
Wausau, WI 54401-9038
Phone
(715) 842-0791
Fax
(715) 845-2176
NPI assigned
Jul 16, 2026
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Paul Winger
Title
Member
Phone
(715) 842-0791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

555 S 72ND Ave
Wausau, WI 54401-9038

Mailing address

555 S 72ND Ave
Wausau, WI 54401-9038
Phone (715) 842-0791

National Provider Directory

National Provider Directory

Locations

555 S 72nd Ave
Wausau, WI 54401
Phone (715) 842-0370

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1386564797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S 72ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019038",
            "telephone_number": "715-842-0791",
            "fax_number": "715-845-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 72ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019038",
            "telephone_number": "715-842-0791",
            "fax_number": "715-845-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC RX-WAUSAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "WINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-842-0791"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.