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WAUPACA HOMETOWN PHARMACY LLC
NPI 1396087243
Pharmacy - Community/Retail Pharmacy in Waupaca, WI

Active since March 19, 2013CLIA 52D2125747 · Waiver
115 N WESTERN AVE UNIT 8, WAUPACA, WI 54981(715) 256-0400(715) 256-0402 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2026, Sep 9, 2025, Apr 7, 2022 and 1 more (4 updates tracked since 2016).

About Waupaca Hometown Pharmacy Llc NPPES

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

WAUPACA HOMETOWN PHARMACY LLC (NPI 1396087243), doing business as Waupaca Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Waupaca, Wisconsin and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Daniel Strause, Owner, as its authorized official.

NPPES Registry Identity

NPI1396087243
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAUPACA HOMETOWN PHARMACY LLC
Location Address115 N WESTERN AVE UNIT 8Waupaca, WI 54981-2201
Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 614-6100
Phone(715) 256-0400
Fax(715) 256-0402
Organization SubpartNo
Authorized OfficialDaniel StrauseOwner · (920) 992-6800
Enumeration DateMarch 19, 2013
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1396087243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 9193-42
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
115 N WESTERN AVE UNIT 8, Waupaca, WI 54981
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Other Names 1

Doing Business AsWaupaca Hometown Pharmacy

Other Identifiers 1

Medicaid1004505867WI

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 52D2125747

Waupaca Hometown Pharmacy · Waupaca, WI
Active · expires Feb 12, 2027
CLIA Number52D2125747
Laboratory TypePharmacy
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorMatthew Klieforth
Laboratory Phone(715) 256-0400
Laboratory LocationWaupaca Hometown Pharmacy115 N Western Ave Unit 8, Waupaca, WI 54981
CLIA data matches this NPI record on: Address 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.
99 services99 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.
96 services96 patients

Medical Equipment Supplier Medicare DMEPOS 16

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

Waupaca Hometown Pharmacy

DMEPOS supplier · Waupaca, WIOperated by Waupaca Hometown Pharmacy LLC
✔

Accepts Medicare assignment

Waupaca Hometown Pharmacy 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)20417603
Medicare Participant SinceJanuary 1, 2020
Supplier Location115 N Western Ave Unit 8Waupaca, WI 54981
Phone(715) 256-0400
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 Waupaca Hometown Pharmacy LLC's NPI number?

The NPI number for Waupaca Hometown Pharmacy LLC is 1396087243. It was assigned to this organization in the NPPES registry on March 19, 2013. The provider is doing business as Waupaca Hometown Pharmacy.

Where is Waupaca Hometown Pharmacy LLC located?

Waupaca Hometown Pharmacy LLC is located at 115 N Western Ave Unit 8, Waupaca, WI 54981. The listed phone number is (715) 256-0400.

What is Waupaca Hometown Pharmacy LLC's specialty?

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

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

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

Does Waupaca Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2125747) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waupaca 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 50 other insurers list Waupaca 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 Waupaca Hometown Pharmacy LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.