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BEAVER DAM HOMETOWN PHARMACY LLC
NPI 1588036826
Pharmacy - Community/Retail Pharmacy in Beaver Dam, WI

Active since October 27, 2015CLIA 52D2124241 · Waiver
609 N SPRING ST, BEAVER DAM, WI 53916(920) 356-1500(920) 356-1510 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, Sep 5, 2025, Mar 28, 2025 and 7 more (10 updates tracked since 2015).

About Beaver Dam Hometown Pharmacy Llc NPPES

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

BEAVER DAM HOMETOWN PHARMACY LLC (NPI 1588036826), doing business as Beaver Dam Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Beaver Dam, Wisconsin and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Daniel Strause, Owner, as its authorized official.

NPPES Registry Identity

NPI1588036826
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBEAVER DAM HOMETOWN PHARMACY LLC
Location Address609 N SPRING STBeaver Dam, WI 53916-2040
Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 614-6100
Phone(920) 356-1500
Fax(920) 356-1510
Organization SubpartNo
Authorized OfficialDaniel StrauseOwner · (920) 992-6800
Enumeration DateOctober 27, 2015
Last NPPES UpdateSeptember 8, 202510 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1588036826 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 · License 9411-42 (WI)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
609 N SPRING ST, Beaver Dam, WI 53916
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Other Names 1

Doing Business AsBeaver Dam Hometown Pharmacy

Other Identifiers 1

Medicaid100309026WI

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 52D2124241

Beaver Dam Hometown Pharmacy · Beaver Dam, WI
Active · expires Jan 11, 2027
CLIA Number52D2124241
Laboratory TypePharmacy
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorErin Williams
Laboratory Phone(920) 992-6800
Laboratory LocationBeaver Dam Hometown Pharmacy609 N Spring St, Beaver Dam, WI 53916
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.
44 services44 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.
43 services43 patients

Medical Equipment Supplier Medicare DMEPOS 15

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

Beaver Dam Hometown Pharmacy LLC

DMEPOS supplier · Beaver Dam, WI
✔

Accepts Medicare assignment

Beaver Dam 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)20683289
Medicare Participant SinceJuly 29, 2020
Supplier Location609 N Spring StBeaver Dam, WI 53916
Phone(920) 356-1500
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
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 8

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

BLAIR ADAM BAILLIO PHARMD
Pharmacist
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 356-1500
NICOLE GROH
Health Educator
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 356-1500
DR. KYLE MATTHEW WAYNER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 356-1500
DR. CHRISTINA KOUKOL PHARMD, RPH
Pharmacist
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 885-3277
DR. ALLISON KAY WALKER PHARM D
Pharmacist
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 885-3277
MR. LARRY A DAY RPH
Pharmacist
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 885-3277
DR. AHAMED A AHAMED PHARMD
Pharmacist
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 356-1500
COURTNEY FLAGEL CPHT
Pharmacy Technician
609 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 356-1500

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 Beaver Dam Hometown Pharmacy LLC's NPI number?

The NPI number for Beaver Dam Hometown Pharmacy LLC is 1588036826. It was assigned to this organization in the NPPES registry on October 27, 2015. The provider is doing business as Beaver Dam Hometown Pharmacy.

Where is Beaver Dam Hometown Pharmacy LLC located?

Beaver Dam Hometown Pharmacy LLC is located at 609 N Spring St, Beaver Dam, WI 53916. The listed phone number is (920) 356-1500.

What is Beaver Dam Hometown Pharmacy LLC's specialty?

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

Does Beaver Dam Hometown Pharmacy LLC accept Medicare assignment for medical equipment?

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

Does Beaver Dam Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2124241) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaver Dam 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 49 other insurers list Beaver Dam 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 Beaver Dam Hometown Pharmacy LLC was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.