Organization Active NPI

Wilz Drugs Inc

  • Community/Retail Pharmacy
  • Portage, WI
National Provider Identifier
1548285398
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
695042 Issued in WI
Legal business name
WILZ DRUGS INC
Practice address
140 E Cook St
Portage, WI 53901-2205
Phone
(608) 742-3545
Fax
(608) 742-0358
NPI assigned
Jul 13, 2006
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Daniel Strause
Title
Owner
Phone
(920) 992-6800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 695042 WI Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

140 E Cook St
Portage, WI 53901-2205

Mailing address

333 Lowville Rd
Rio, WI 53960-9437
Phone (920) 992-6800

Other identifiers 1

IdentifierTypeStateIssuer
33055700MedicaidWI

Other names 1

  • WILZ DRUG AND HOME HEALTH CARE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930063383 WI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 6103943535 Practice locations: Portage, WI
O20190312000577 WI Part B Supplier - Mass Immunization (Roster Biller Only) 6103943535 Practice locations: Portage, WI
O20240319001586 WI Part B Supplier - Pharmacy 6103943535 Practice locations: Portage, WI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1548285398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LOWVILLE RD",
            "city": "RIO",
            "state": "WI",
            "postal_code": "539609437",
            "telephone_number": "920-992-6800",
            "fax_number": "920-614-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E COOK ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012205",
            "telephone_number": "608-742-3545",
            "fax_number": "608-742-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILZ DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "STRAUSE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-992-6800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "695042",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33055700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILZ DRUG AND HOME HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WILZ DRUG AND HOME HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portage, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.