RACINE HOMETOWN PHARMACY LLC (NPI# 1013426949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013426949 |
| Entity Type | Organization |
| Organization Name | RACINE HOMETOWN PHARMACY LLC |
| Practice Address |
3900 Erie St Racine WI 53402-3544 |
| Mailing Address |
333 Lowville Rd Rio WI 53960-9437 |
| Practice Telephone | 2626391611 |
| Practice Fax Number | 2626395611 |
| Mailing Telephone | 9209926800 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | DANIEL STRAUSE (CEO) |
| Authorized Official Telephone | 9209926800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 9477-42 | WI | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
9477-42 | WI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9477-45 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100074272 | 05 |
| Street Address |
3900 ERIE ST |
| City | RACINE |
| State | WI |
| Zip Code | 53402-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062441 | Aurora Pharmacy Inc | Pharmacy | 3900 Erie St, Suite 100, Racine, WI 53402-3544 | 2006-07-11 |
| 1235524075 | John Herbert Wagner | Pharmacist | 3900 Erie St, Racine, WI 53402-3544 | 2015-03-30 |
| 1093113250 | Jill Van Order Gates | Pharmacist | 3900 Erie St, Racine, WI 53402-3544 | 2014-12-19 |
| 1932538881 | Richard Dvorsky | Pharmacist | 3900 Erie St, Racine, WI 53402-3544 | 2013-11-01 |
| 1205943990 | Susan H Ward | Nurse Practitioner | 3900 Erie St, Racine, WI 53402-3544 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1174021778 | B7 Pharmacy Inc | Pharmacy | 5220 Washington Ave # 101, Racine, WI 53406-4228 | 2018-01-29 |
| 1164974523 | Genoa Healthcare, LLC | Pharmacy | 1717 Taylor Ave Ste P1, Racine, WI 53403-2405 | 2016-11-01 |
| 1396752341 | Walgreen Co | Pharmacy | 1920 Douglas Ave, Racine, WI 53402-4614 | 2006-08-02 |
| 1194730085 | Walgreen Co | Pharmacy | 3825 Durand Ave, Racine, WI 53405-4424 | 2006-07-29 |
| 1740295633 | Walgreen Co | Pharmacy | 819 N Memorial Dr, Racine, WI 53404-3270 | 2006-07-29 |
| 1225062441 | Aurora Pharmacy Inc | Pharmacy | 3900 Erie St, Suite 100, Racine, WI 53402-3544 | 2006-07-11 |
| 1265466486 | Aurora Pharmacy Inc | Pharmacy | 2210 Rapids Dr, Racine, WI 53404-2050 | 2006-07-11 |
| 1255372124 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1122 West Blvd, Racine, WI 53405-3020 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| 1407408420 | Hayat Pharmacy 18 LLC | Pharmacy | 140 E Water St Ste 3, West Bend, WI 53095-3415 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RACINE HOMETOWN PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.