SISTER BAY HOMETOWN PHARMACY LLC
NPI 1356800361
Pharmacy - Community/Retail Pharmacy in Sister Bay, WI

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

The NPI number for Sister Bay Hometown Pharmacy LLC is 1356800361. It was assigned to this organization in the NPPES registry on March 19, 2019. The provider is doing business as Sister Bay Hometown Pharmacy.

Q: What is Sister Bay 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 March 19, 2019CLIA 52D2212151 · Waiver

10578 COUNTRY WALK DR UNIT 27, SISTER BAY, WI 54234(920) 633-4060(920) 633-4062 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2025, May 5, 2025, Feb 20, 2025 and 2 more (5 updates tracked since 2019).

On this page

About Sister Bay Hometown Pharmacy Llc NPPES

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

SISTER BAY HOMETOWN PHARMACY LLC (NPI 1356800361), doing business as Sister Bay Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Sister Bay, Wisconsin and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Daniel Strause, Owner, as its authorized official.

NPPES Registry Identity

NPI1356800361

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSISTER BAY HOMETOWN PHARMACY LLC

Location Address10578 COUNTRY WALK DR UNIT 27Sister Bay, WI 54234-9114

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

Phone(920) 633-4060

Fax(920) 633-4062

Organization SubpartNo

Authorized OfficialDaniel StrauseOwner · (920) 992-6800

Enumeration DateMarch 19, 2019

Last NPPES UpdateSeptember 5, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1356800361 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

10578 COUNTRY WALK DR UNIT 27, Sister Bay, WI 54234

Open in Google Maps ↗

Other Names 1

Doing Business AsSister Bay Hometown Pharmacy

Other Identifiers 1

Medicaid100321388WI

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 52D2212151

Sister Bay Hometown Pharmacy · Sister Bay, WI

Active · expires Feb 2, 2027

CLIA Number52D2212151

Laboratory TypePharmacy

Certificate Effective DateFebruary 3, 2025

Certificate Expiration DateFebruary 2, 2027

Laboratory DirectorMichael Stubenvoll

Laboratory Phone(920) 992-6800

Laboratory LocationSister Bay Hometown Pharmacy10578 Country Walk Dr #27, Sister Bay, WI 54234

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.

43 services43 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.

41 services41 patients

Other Providers at the Same Location NPPES

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

MICHAEL DAVID STUBENVOLL PHARMD

Pharmacist

10578 COUNTRY WALK DR UNIT 27
SISTER BAY, WI 54234

Door County (920) 633-4060

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 Sister Bay Hometown Pharmacy LLC's NPI number?

The NPI number for Sister Bay Hometown Pharmacy LLC is 1356800361. It was assigned to this organization in the NPPES registry on March 19, 2019. The provider is doing business as Sister Bay Hometown Pharmacy.

Where is Sister Bay Hometown Pharmacy LLC located?

Sister Bay Hometown Pharmacy LLC is located at 10578 Country Walk Dr Unit 27, Sister Bay, WI 54234. The listed phone number is (920) 633-4060.

What is Sister Bay Hometown Pharmacy LLC's specialty?

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

Does Sister Bay Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2212151) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sister Bay 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 Sister Bay 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 Sister Bay Hometown Pharmacy LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.