KIMBERLY HOMETOWN PHARMACY LLC
NPI 1295291045
Pharmacy - Community/Retail Pharmacy in Appleton, WI

Q: What is Kimberly Hometown Pharmacy LLC's NPI number?

The NPI number for Kimberly Hometown Pharmacy LLC is 1295291045. It was assigned to this organization in the NPPES registry on February 18, 2019. The provider is doing business as Kimberly Hometown Pharmacy.

Q: What is Kimberly Hometown Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since February 18, 2019CLIA 52D2163993 · Waiver

W2721 BROOKHAVEN DR, APPLETON, WI 54915(920) 423-3438(920) 423-3489 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Sep 9, 2025, Apr 7, 2022 and 2 more (5 updates tracked since 2019).

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About Kimberly Hometown Pharmacy Llc NPPES

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

KIMBERLY HOMETOWN PHARMACY LLC (NPI 1295291045), doing business as Kimberly Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Appleton, Wisconsin and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Diane L Deans, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1295291045

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKIMBERLY HOMETOWN PHARMACY LLC

Location AddressW2721 BROOKHAVEN DRAppleton, WI 54915-8184

Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 614-6100

Phone(920) 423-3438

Fax(920) 423-3489

Organization SubpartNo

Authorized OfficialDiane L DeansContracting Manager · (920) 992-6800

Enumeration DateFebruary 18, 2019

Last NPPES UpdateDecember 2, 20255 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1295291045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

W2721 BROOKHAVEN DR, Appleton, WI 54915

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Other Names 1

Doing Business AsKimberly Hometown Pharmacy

Other Identifiers 1

Medicaid100382764WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 52D2163993

Kimberly Hometown Pharmacy · Appleton, WI

Active · expires Mar 25, 2027

CLIA Number52D2163993

Laboratory TypePharmacy

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorOlabisi Oresegun

Laboratory Phone(920) 423-3438

Laboratory LocationKimberly Hometown PharmacyW 2721 Brookhaven Dr, Appleton, WI 54915

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

31 services31 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

30 services30 patients

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories Kimberly Hometown Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Kimberly Hometown Pharmacy LLC

DMEPOS supplier · Appleton, WI

✔

Accepts Medicare assignment

Kimberly Hometown Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20422115

Medicare Participant SinceMarch 6, 2019

Supplier LocationW2721 Brookhaven DrAppleton, WI 54915

Phone(920) 423-3438

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

HEALTHCARE ACCESS POINT LLC

Nurse Practitioner

W2721 BROOKHAVEN DR
APPLETON, WI 54915

Calumet County (920) 423-3438

JENNIFER BAERENWALD PHARM.D.

Pharmacist

W2721 BROOKHAVEN DR
APPLETON, WI 54915

Calumet County (920) 423-3438

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 Kimberly Hometown Pharmacy LLC's NPI number?

The NPI number for Kimberly Hometown Pharmacy LLC is 1295291045. It was assigned to this organization in the NPPES registry on February 18, 2019. The provider is doing business as Kimberly Hometown Pharmacy.

Where is Kimberly Hometown Pharmacy LLC located?

Kimberly Hometown Pharmacy LLC is located at W2721 Brookhaven Dr, Appleton, WI 54915. The listed phone number is (920) 423-3438.

What is Kimberly Hometown Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kimberly Hometown Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kimberly Hometown Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kimberly Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2163993) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kimberly Hometown 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 52 other insurers list Kimberly Hometown 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 Kimberly Hometown Pharmacy LLC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.