WAUSAU FAMILY PHARMACY LLC
NPI 1891439154
Pharmacy in Wausau, WI

Active since April 22, 2022CLIA 52D2274930 · Waiver
630 S 3RD AVE, WAUSAU, WI 54401(715) 567-5700 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 23, 2025, Jul 29, 2022, Apr 22, 2022 (3 updates tracked since 2022).

About Wausau Family Pharmacy Llc NPPES

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

WAUSAU FAMILY PHARMACY LLC (NPI 1891439154) is a healthcare organization registered as a pharmacy in Wausau, Wisconsin and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Zoua Yang, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1891439154
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAUSAU FAMILY PHARMACY LLC
Location Address630 S 3RD AVEWausau, WI 54401-5352
Mailing Address161940 Gusman RdSchofield, WI 54476-2129 · (715) 567-5700 · Fax (715) 298-0494
Organization SubpartNo
Authorized OfficialZoua YangPharmacist · (715) 567-5600
Enumeration DateApril 22, 2022
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
NPI 1891439154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.
630 S 3RD AVE, Wausau, WI 54401

Other Names 1

Other NameWausau Family Pharmacy

Other Identifiers 1

Medicaid100206237WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2274930

Wausau Family Pharmacy · Wausau, WI
Active · expires Jan 11, 2027
CLIA Number52D2274930
Laboratory TypePharmacy
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorZoua Yang
Laboratory Phone(715) 567-5700
Laboratory LocationWausau Family Pharmacy630 S 3rd Ave, Wausau, WI 54401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
29 services29 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
29 services29 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Other Providers at the Same Location NPPES

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

Pharmacist
630 S 3RD AVE
WAUSAU, WI 54401

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 Wausau Family Pharmacy LLC's NPI number?

The NPI number for Wausau Family Pharmacy LLC is 1891439154. It was assigned to this organization in the NPPES registry on April 22, 2022. The provider is also known as Wausau Family Pharmacy.

Where is Wausau Family Pharmacy LLC located?

Wausau Family Pharmacy LLC is located at 630 S 3rd Ave, Wausau, WI 54401. The listed phone number is (715) 567-5700.

What is Wausau Family Pharmacy LLC's specialty?

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

Does Wausau Family Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2274930) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wausau Family Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Wausau Family Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wausau Family Pharmacy LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.