Kriders Inc
Pharmacy
1119 W Mason St, Green Bay
Wisconsin, 54303-1895
920-499-6225 920-499-4544
Kriders Inc is a Pharmacy in Green Bay, Wisconsin. It is located at 1119 W Mason St, Green Bay and it's customer support contact number is 920-499-6225. The authorized person of Kriders Inc is Mr. Gary Brian Krider, RPH who is Owner of the pharmacy and his contact number is 920-499-6772. Kriders Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kriders Inc 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.
Pharmacy Details:
Kriders Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kriders Inc |
| Type: | Pharmacy |
| Location: | 1119 W Mason St, Green Bay,
Wisconsin, 54303-1895 |
| Phone: | 920-499-6225 |
| Fax: | 920-499-4544 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Gary Brian Krider |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 920-499-6772 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1326023664 |
| NPI Enumeration Date: | 09 Dec, 2005 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kriders Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | Wisconsin | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33090100 | Medicaid | Wisconsin | |
Medicare Enrollment:
Kriders Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5092780882 | O20040826000302 | Kriders Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5092780882 | O20100930016417 | Kriders Inc | DME SUPPLIER - PHARMACY |
Products Available:
Kriders Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Breast Prostheses & Accessories | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Infusion Pumps & Supplies: External Infusion |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Patient Lifts |
| • Pneumatic Compression Devices | • Power Operated Vehicles (scooters) |
| • Seat Lift Mechanisms | • Surgical Dressings |
| • Tracheostomy Supplies | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Ultraviolet Light Devices |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Complex Rehabilitative Manual |
| • Wheelchairs & Accessories: Complex Rehabilitative Power | • Wheelchairs & Accessories: Standard Manual |
| • Wheelchairs & Accessories: Standard Power | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1119 W Mason St,
Green Bay, Wisconsin |
| Zip: | 54303-1895 |
| Phone Number: | 920-499-6225 |
| Fax Number: | 920-499-4544 |
Patients can reach Kriders Inc at
1119 W Mason St, Green Bay, Wisconsin or can
call on customer care at 920-499-6225.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.