MUELLER DRUGS INC. NPI 1790880243

NPI Information

  • NPI: 1790880243
  • Provider Name: MUELLER DRUGS, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • CLIA Number: 52D2185523
  • Address: 132 S MAIN ST
    JEFFERSON, WI
    ZIP 53549
  • Phone: (920) 674-5733

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NPI Details

MUELLER DRUGS, INC. is a pharmacy in Jefferson, WI. The provider is 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. MUELLER DRUGS, INC. NPI is 1790880243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

132 S MAIN ST
JEFFERSON, WI
ZIP 53549
Phone: (920) 674-5733

The provider's authorized official is Joshua S Lotz .
The authorized official title is Owner and has the following contact phone number (920) 674-5733.

The CLIA number assigned to this NPI record is 52D2185523 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 9/13/2006 and was last updated on 5/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist4537-042WISCONSINNo
2333600000XPharmacy4537-42WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133095700MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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