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KEWAUNEE HOMETOWN PHARMACY LLC
NPI 1326608142
Pharmacy - Community/Retail Pharmacy in Kewaunee, WI

Active since June 14, 2019
1614 CENTER ST, KEWAUNEE, WI 54216(920) 310-1616(920) 388-6164 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2022, Jun 6, 2022, Dec 10, 2021 and 1 more (4 updates tracked since 2019).

About Kewaunee Hometown Pharmacy Llc NPPES

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

KEWAUNEE HOMETOWN PHARMACY LLC (NPI 1326608142), doing business as Kewaunee Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Kewaunee, Wisconsin and active in the NPI registry since June 2019. The organization lists Nicole Hermansen, Contracting Specialist, as its authorized official.

NPPES Registry Identity

NPI1326608142
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKEWAUNEE HOMETOWN PHARMACY LLC
Location Address1614 CENTER STKewaunee, WI 54216-1792
Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 992-6801
Phone(920) 310-1616
Fax(920) 388-6164
Organization SubpartNo
Authorized OfficialNicole HermansenContracting Specialist · (920) 992-6800
Enumeration DateJune 14, 2019
Last NPPES UpdateJuly 25, 20254 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1326608142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1614 CENTER ST, Kewaunee, WI 54216
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Other Names 1

Doing Business AsKewaunee Hometown Pharmacy

Other Identifiers 1

Medicaid100090741WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 20

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

Kewaunee Hometown Pharmacy LLC

DMEPOS supplier · Kewaunee, WI
✔

Accepts Medicare assignment

Kewaunee 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)20420009
Medicare Participant SinceSeptember 3, 2019
Supplier Location1614 Center St Ste 1Kewaunee, WI 54216
Phone(920) 310-1616
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.

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 Kewaunee Hometown Pharmacy LLC's NPI number?

The NPI number for Kewaunee Hometown Pharmacy LLC is 1326608142. It was assigned to this organization in the NPPES registry on June 14, 2019. The provider is doing business as Kewaunee Hometown Pharmacy.

Where is Kewaunee Hometown Pharmacy LLC located?

Kewaunee Hometown Pharmacy LLC is located at 1614 Center St, Kewaunee, WI 54216. The listed phone number is (920) 310-1616.

What is Kewaunee Hometown Pharmacy LLC's specialty?

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

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

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

What insurance does Kewaunee Hometown Pharmacy LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 21 other insurers list Kewaunee 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 Kewaunee Hometown Pharmacy LLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.