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DE PERE HOMETOWN PHARMACY LLC
NPI 1730749672
Pharmacy - Community/Retail Pharmacy in De Pere, WI

Active since June 13, 2019CLIA 52D2209079 · Waiver
510 REDBIRD CIR, DE PERE, WI 54115(920) 351-8155(920) 632-7671 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, May 24, 2022, Apr 7, 2022 and 2 more (5 updates tracked since 2019).

About De Pere Hometown Pharmacy Llc NPPES

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

DE PERE HOMETOWN PHARMACY LLC (NPI 1730749672), doing business as De Pere Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in De Pere, Wisconsin and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Daniel Strause, Owner, as its authorized official.

NPPES Registry Identity

NPI1730749672
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDE PERE HOMETOWN PHARMACY LLC
Location Address510 REDBIRD CIRDe Pere, WI 54115-8785
Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 614-6100
Phone(920) 351-8155
Fax(920) 632-7671
Organization SubpartNo
Authorized OfficialDaniel StrauseOwner · (920) 992-6800
Enumeration DateJune 13, 2019
Last NPPES UpdateSeptember 8, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1730749672 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

Other Names 2

Doing Business AsDe Pere Hometown Pharmacy
Doing Business AsDepere Hometown Pharmacy

Other Identifiers 1

Medicaid100090726WI

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 52D2209079

Depere Hometown Pharmacy LLC · De Pere, WI
Active · expires Jan 10, 2027
CLIA Number52D2209079
Laboratory TypePharmacy
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorMs. Sarah Bowker
Laboratory Phone(920) 992-6800
Laboratory LocationDepere Hometown Pharmacy LLC510 Redbird Circle, De Pere, WI 54115
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.
53 services53 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.
46 services46 patients

Medical Equipment Supplier Medicare DMEPOS 20

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

Depere Hometown Pharmacy

DMEPOS supplier · De Pere, WIOperated by Depere Hometown Pharmacy LLC
✔

Accepts Medicare assignment

Depere 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)20420147
Medicare Participant SinceAugust 19, 2019
Supplier Location510 Redbird CirDe Pere, WI 54115
Phone(920) 351-8155
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.

Other Providers at the Same Location NPPES

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

MICHELLE MAYER PHARM D
Pharmacist
510 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 351-8155

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 De Pere Hometown Pharmacy LLC's NPI number?

The NPI number for De Pere Hometown Pharmacy LLC is 1730749672. It was assigned to this organization in the NPPES registry on June 13, 2019. The provider is doing business as De Pere Hometown Pharmacy and DePere Hometown Pharmacy.

Where is De Pere Hometown Pharmacy LLC located?

De Pere Hometown Pharmacy LLC is located at 510 Redbird Cir, De Pere, WI 54115. The listed phone number is (920) 351-8155.

What is De Pere Hometown Pharmacy LLC's specialty?

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

Does De Pere Hometown Pharmacy LLC accept Medicare assignment for medical equipment?

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

Does De Pere Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2209079) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does De Pere 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 De Pere 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 De Pere Hometown Pharmacy LLC was last updated on September 8, 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.