Active NPI
Medwiz Specialty Pharmacy, LLC
- Specialty Pharmacy
- Woodridge, IL
National Provider Identifier
1538742622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- MEDWIZ SPECIALTY PHARMACY, LLC
- Practice address
- 940 S Frontage Rd Ste 500
Woodridge, IL 60517-5035 - Phone
- (630) 580-1700
- NPI assigned
- May 5, 2021
- 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
- Eric Newhouse
- Title
- Owner
- Phone
- (845) 624-8080
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
940 S Frontage Rd Ste 500
Woodridge, IL 60517-5035
Mailing address
167 Route 304
Bardonia, NY 10954-2050
Phone (630) 580-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211229001737 | IL | Part B Supplier - Pharmacy | 6800287855 | Practice locations: Woodridge, IL |
| O20220120001978 | IL | DME Supplier - Pharmacy | 6800287855 | Practice locations: Woodridge, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Medwiz Specialty Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Woodridge, IL
- NPI 1235837071
Locations
940 S Frontage Rd
Ste 500
Woodridge, IL 60517
Phone (630) 580-1700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Woodridge, IL
- NPI 1285245902
-
- Pharmacist
- Woodridge, IL
- NPI 1811658099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755648000000",
"number": "1538742622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 ROUTE 304",
"city": "BARDONIA",
"state": "NY",
"postal_code": "109542050",
"telephone_number": "630-580-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 S FRONTAGE RD STE 500",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605175035",
"telephone_number": "630-580-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDWIZ SPECIALTY PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-05",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A",
"authorized_official_last_name": "NEWHOUSE",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-624-8080"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.