Organization Active NPI

Wausau Family Pharmacy LLC

  • Pharmacy
  • Wausau, WI
National Provider Identifier
1891439154
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WAUSAU FAMILY PHARMACY LLC
Practice address
630 S 3Rd Ave
Wausau, WI 54401-5352
Phone
(715) 567-5700
NPI assigned
Apr 22, 2022
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Dr. Zoua Yang, PHARM DNPI 1083995625
Title
Pharmacist
Phone
(715) 567-5600

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
Pharmacy 333600000X Primary

Addresses

Primary practice location

630 S 3Rd Ave
Wausau, WI 54401-5352

Mailing address

161940 Gusman Rd
Schofield, WI 54476-2129
Phone (715) 567-5700

Other identifiers 1

IdentifierTypeStateIssuer
100206237MedicaidWI

Other names 1

  • Wausau Family Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921003051 WI Part B Supplier - Mass Immunization (Roster Biller Only) 7113301136 Practice locations: Wausau, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2274930Wausau Family Pharmacy630 S 3Rd Ave, Wausau, WI 54401Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

630 S 3rd Ave
Wausau, WI 54401
Phone (715) 567-5700

Practitioners & affiliated clinicians

Practitioners 2

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": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1891439154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161940 GUSMAN RD",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762129",
            "telephone_number": "715-567-5700",
            "fax_number": "715-298-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S 3RD AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015352",
            "telephone_number": "715-567-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUSAU FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ZOUA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "715-567-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100206237",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wausau Family Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wausau Family Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.