DIVINE SAVIOR HEALTHCARE, INC.
NPI 1710133095
Pharmacy in Portage, WI

Q: What is Divine Savior Healthcare, Inc.'s NPI number?

The NPI number for Divine Savior Healthcare, Inc. is 1710133095. It was assigned to this organization in the NPPES registry on August 18, 2008.

Q: What is Divine Savior Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since August 18, 2008

2817 NEW PINERY RD, PORTAGE, WI 53901(608) 742-4131 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Divine Savior Healthcare, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE SAVIOR HEALTHCARE, INC. (NPI 1710133095) is a healthcare organization registered as a pharmacy in Portage, Wisconsin and active in the NPI registry since August 2008. The organization lists Jerry M Yang, Svp & Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1710133095

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameDIVINE SAVIOR HEALTHCARE, INC.

Location Address2817 NEW PINERY RDPortage, WI 53901-9257

Mailing Address29980 Network PlChicago, IL 60673-1299 · (715) 847-2304 · Fax (715) 843-1188

Phone(608) 742-4131

Organization SubpartNo

Authorized OfficialJerry M YangSvp & Chief Financial Officer · (715) 847-2526

Enumeration DateAugust 18, 2008

Last NPPES UpdateJune 14, 2024

NPPES CertifiedJune 14, 2024

✔ NPI 1710133095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in WI · 8330-042

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

2817 NEW PINERY RD, Portage, WI 53901

Open in Google Maps ↗

Other Identifiers 1

Medicaid33113100WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY LEIGH READ CCC-SLP

Speech-Language Pathologist

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

ELIZABETH SHARRON REDDEMAN DPT

Physical Therapist

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 745-6290

MRS. BONNIE SUE STANISLAWSKI AU. D.

Audiologist-Hearing Aid Fitter

2817 NEW PINERY RD, SUITE 103
PORTAGE, WI 53901

Columbia County (608) 745-6290

MADISON LEE PHARMD

Pharmacist

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

DEBORAH BRZYCKI CRNA

Nurse Anesthetist, Certified Registered

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (262) 416-8317

TERRA THIMM

Emergency Medicine

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

DILLON VIA

Physician Assistant

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

MICHAEL C WALTERS MD

Emergency Medicine

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 745-5689

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Savior Healthcare, Inc.'s NPI number?

The NPI number for Divine Savior Healthcare, Inc. is 1710133095. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is Divine Savior Healthcare, Inc. located?

Divine Savior Healthcare, Inc. is located at 2817 New Pinery Rd, Portage, WI 53901. The listed phone number is (608) 742-4131.

What is Divine Savior Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Divine Savior Healthcare, Inc. was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.