Organization Active NPI

Medwiz Specialty Pharmacy, LLC

  • Specialty Pharmacy
  • Woodridge, IL
National Provider Identifier
1538742622
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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

Updated by the provider on Aug 20, 2025

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)CodeLicenseStatePrimary
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 IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLC2 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.

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.

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.

Verify at the official NPI Registry.