WAUNAKEE HOMETOWN PHARMACY LLC (NPI# 1053862318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053862318 |
| Entity Type | Organization |
| Organization Name | WAUNAKEE HOMETOWN PHARMACY LLC |
| Other Organization Name | WAUNAKEE HOMETOWN PHARMACY |
| Practice Address |
233 S Century Ave Waunakee WI 53597-1249 |
| Mailing Address |
333 Lowville Rd Rio WI 53960-9437 |
| Practice Telephone | 6088509314 |
| Practice Fax Number | 6088509501 |
| Mailing Telephone | 9209926800 |
| Mailing Fax Number | 9209926800 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2020-06-01 |
| 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 | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9430-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100063545 | 05 | |
| PK | 2165812 | 01 |
| Other Name | Type Code |
|---|---|
| WAUNAKEE HOMETOWN PHARMACY | Doing Business As Name - Organization |
| Street Address |
233 S CENTURY AVE |
| City | WAUNAKEE |
| State | WI |
| Zip Code | 53597-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962506915 | Mike Flint Enterprises Inc | Pharmacy | 233 S Century Ave, Waunakee, WI 53597-1249 | 2006-09-12 |
| 1154729226 | Renata Wojdyla | Pharmacist | 233 S Century Ave, Waunakee, WI 53597-1249 | 2014-12-05 |
| 1447690284 | Cherie Richter | Pharmacist | 233 S Century Ave, Waunakee, WI 53597-1249 | 2013-06-25 |
| 1104170877 | Marcia Glennon | Pharmacist | 233 S Century Ave, Waunakee, WI 53597-1249 | 2012-11-02 |
| 1558614966 | Aimee Speers | Pharmacist | 233 S Century Ave, Waunakee, WI 53597-1249 | 2012-10-23 |
| 1467704908 | Jennifer Spangler | Pharmacist | 233 S Century Ave, Waunakee, WI 53597-1249 | 2012-10-08 |
| 1205187382 | Jennifer Lynn Parker | Pharmacist | 233 S Century Ave, Waunakee, WI 53597-1249 | 2012-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689478 | Ashley Clemens | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2015-01-20 |
| 1821402595 | Gualberto Bisquera Mejia | Internal Medicine | 5936 Hogan Rd, Waunakee, WI 53597 | 2014-06-20 |
| 1972644706 | Jill M Mikkelson | Chiropractor | 1024 Quinn Drive, Waunakee, WI 53597 | 2007-02-12 |
| 1790823409 | Linda Anita Ballweg | Pharmacist | 208 Dorn Dr, Waunakee, WI 53597 | 2007-02-02 |
| 1457431611 | Phillip John Bakke | Chiropractor | 612 East Main Street, Bakke Chiropractic Clinic Sc, Waunakee, WI 53597 | 2006-10-16 |
| 1427007723 | Barbara J Schlittler | Physician Assistant | 1300 S Century Ave, Waunakee, WI 53597 | 2006-05-06 |
| 1750342051 | Curtis W Bush | Family Medicine | 208 S Century St, Waunakee, WI 53597 | 2006-03-28 |
| 1104358282 | Stonetree Therapy LLC | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2017-03-29 |
| 1578862322 | Casey Thompson | Optometrist | 1300 S Century Ave, Waunakee, WI 53597 | 2011-03-18 |
| 1811020969 | Mathew Patrick Herbst | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597 | 2007-03-14 |
| Find all providers in zip 53597 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.