Organization Active NPI

Streus Pharmacy Inc

  • Long Term Care Pharmacy
  • Green Bay, WI
National Provider Identifier
1497898472
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
8504-042 Issued in WI
Legal business name
STREUS PHARMACY INC
Practice address
528 N Monroe Ave
Green Bay, WI 54301-4910
Phone
(920) 437-0206
Fax
(920) 884-6932
NPI assigned
Feb 15, 2007
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
Long Term Care Pharmacy 3336L0003X 8504-042 WI Primary

Addresses

Primary practice location

528 N Monroe Ave
Green Bay, WI 54301-4910

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
33073500MedicaidWI
5128601OtherWINABP

Other names 1

  • Streus Pharmacy LTC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081106000232 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2163581000 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Green Bay, WI
O20100930075440 WI DME Supplier - Pharmacy 2163581000 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
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.

National Provider Directory

National Provider Directory

Locations

635 Main St
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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1497898472",
    "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": "920-437-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N MONROE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014910",
            "telephone_number": "920-437-0206",
            "fax_number": "920-884-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREUS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "8504-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33073500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5128601",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Streus Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.