NPIMap

Organization Active NPI

Bellicose International Inc.

Doing business as Wood River Pharmacy Long Term Care

  • Long Term Care Pharmacy
  • Grantsburg, WI
National Provider Identifier
1528625985
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BELLICOSE INTERNATIONAL INC.
Doing business as
Wood River Pharmacy Long Term Care
Practice address
122 W Madison Ave
Grantsburg, WI 54840-7022
Phone
(715) 463-2525
Fax
(866) 868-7742
NPI assigned
May 21, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Mr. Christopher John Witzany, R.PH.NPI 1275544967
Title
Manager
Phone
(715) 463-2525

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 NU Primary

Addresses

Primary practice location

122 W Madison Ave
Grantsburg, WI 54840-7022

Mailing address

PO Box 39
Grantsburg, WI 54840-0039
Phone (715) 463-2525

Other identifiers 1

IdentifierTypeStateIssuer
33154200MedicaidWI

Other names 1

  • Wood River Pharmacy Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bellicose International Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1528625985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548400039",
            "telephone_number": "715-463-2525",
            "fax_number": "866-868-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W MADISON AVE",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548407022",
            "telephone_number": "715-463-2525",
            "fax_number": "866-868-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLICOSE INTERNATIONAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "WITZANY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-463-2525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33154200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood River Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grantsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.