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PLOVER HOMETOWN PHARMACY LLC
NPI 1457919581
Pharmacy - Community/Retail Pharmacy in Plover, WI

Active since June 04, 2019CLIA 52D2184815 · Waiver
1600 AMERICAN DR, PLOVER, WI 54467(715) 544-6272(715) 544-6045 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2025, Feb 20, 2025, May 24, 2022 and 2 more (5 updates tracked since 2019).

About Plover Hometown Pharmacy Llc NPPES

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

PLOVER HOMETOWN PHARMACY LLC (NPI 1457919581), doing business as Plover Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Plover, Wisconsin and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Daniel Strause, Owner, as its authorized official.

NPPES Registry Identity

NPI1457919581
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePLOVER HOMETOWN PHARMACY LLC
Location Address1600 AMERICAN DRPlover, WI 54467-3157
Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 614-6100
Phone(715) 544-6272
Fax(715) 544-6045
Organization SubpartNo
Authorized OfficialDaniel StrauseOwner · (920) 992-6800
Enumeration DateJune 4, 2019
Last NPPES UpdateSeptember 9, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1457919581 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
1600 AMERICAN DR, Plover, WI 54467
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Other Names 1

Doing Business AsPlover Hometown Pharmacy

Other Identifiers 1

Medicaid100092338WI

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 52D2184815

Plover Hometown Pharmacy LLC · Plover, WI
Active · expires May 25, 2028
CLIA Number52D2184815
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorMr. Kent Udulutch
Laboratory Phone(920) 992-6800
Laboratory LocationPlover Hometown Pharmacy LLC1600 American Drive, Plover, WI 54467
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.
199 services197 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.
178 services178 patients

Medical Equipment Supplier Medicare DMEPOS 20

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

Plover Hometown Pharmacy LLC

DMEPOS supplier · Plover, WI
✔

Accepts Medicare assignment

Plover 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)20419853
Medicare Participant SinceSeptember 16, 2019
Supplier Location1600 American DrPlover, WI 54467
Phone(715) 544-6272
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 Plover Hometown Pharmacy LLC's NPI number?

The NPI number for Plover Hometown Pharmacy LLC is 1457919581. It was assigned to this organization in the NPPES registry on June 4, 2019. The provider is doing business as Plover Hometown Pharmacy.

Where is Plover Hometown Pharmacy LLC located?

Plover Hometown Pharmacy LLC is located at 1600 American Dr, Plover, WI 54467. The listed phone number is (715) 544-6272.

What is Plover Hometown Pharmacy LLC's specialty?

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

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

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

Does Plover Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2184815) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Plover 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 Plover 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 Plover Hometown Pharmacy LLC was last updated on September 9, 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.