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MAYVILLE HOMETOWN PHARMACY LLC
NPI 1790244473
Pharmacy - Community/Retail Pharmacy in Mayville, WI

Active since March 13, 2019CLIA 52D2196195 · Waiver
1448 HORICON ST, MAYVILLE, WI 53050(920) 644-2080(920) 644-2208 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Aug 23, 2021, Mar 13, 2019 (3 updates tracked since 2019).

About Mayville Hometown Pharmacy Llc NPPES

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

MAYVILLE HOMETOWN PHARMACY LLC (NPI 1790244473), doing business as Mayville Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Mayville, Wisconsin and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Daniel Strause, Owner, as its authorized official.

NPPES Registry Identity

NPI1790244473
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMAYVILLE HOMETOWN PHARMACY LLC
Location Address1448 HORICON STMayville, WI 53050-1467
Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 614-6100
Phone(920) 644-2080
Fax(920) 644-2208
Organization SubpartNo
Authorized OfficialDaniel StrauseOwner · (920) 992-6800
Enumeration DateMarch 13, 2019
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1790244473 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
1448 HORICON ST, Mayville, WI 53050
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Other Names 1

Doing Business AsMayville Hometown Pharmacy

Other Identifiers 1

Medicaid100087577WI

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 52D2196195

Mayville Hometown Pharmacy LLC · Mayville, WI
Active · expires Oct 14, 2026
CLIA Number52D2196195
Laboratory TypePharmacy
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorNicole M. Schmidt
Laboratory Phone(920) 992-6800
Laboratory LocationMayville Hometown Pharmacy LLC1448 Horicon St, Mayville, WI 53050
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.
54 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.
50 services50 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.

ERIN WILLIAMS PHARMD, RPH
Pharmacist
1448 HORICON ST
MAYVILLE, WI 53050
Dodge County (920) 644-2080

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 Mayville Hometown Pharmacy LLC's NPI number?

The NPI number for Mayville Hometown Pharmacy LLC is 1790244473. It was assigned to this organization in the NPPES registry on March 13, 2019. The provider is doing business as Mayville Hometown Pharmacy.

Where is Mayville Hometown Pharmacy LLC located?

Mayville Hometown Pharmacy LLC is located at 1448 Horicon St, Mayville, WI 53050. The listed phone number is (920) 644-2080.

What is Mayville Hometown Pharmacy LLC's specialty?

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

Does Mayville Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2196195) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mayville 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 Mayville 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 Mayville 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.