Active NPI
Streus Pharmacy Inc
- Long Term Care Pharmacy
- Green Bay, WI
National Provider Identifier
1497898472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 8504-042
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Marie Schreiner
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33073500 | Medicaid | WI | |
| 5128601 | Other | WI | NABP |
Other names 1
- Streus Pharmacy LTC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Community/Retail Pharmacy
- Green Bay, WI
- NPI 1396119236
-
- Pharmacist
- Green Bay, WI
- NPI 1336605328
-
- Pharmacist
- Green Bay, WI
- NPI 1255858544
-
- Pharmacist
- Green Bay, WI
- NPI 1669757001
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.