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WINNECONNE HOMETOWN PHARMACY LLC
NPI 1972060853
Pharmacy - Community/Retail Pharmacy in Winneconne, WI

Active since February 27, 2019CLIA 52D2163997 · Waiver
911 E MAIN ST STE 300, WINNECONNE, WI 54986(920) 706-0720(920) 706-0721 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2025, Mar 28, 2025, Feb 20, 2025 and 3 more (6 updates tracked since 2019).

About Winneconne Hometown Pharmacy Llc NPPES

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

WINNECONNE HOMETOWN PHARMACY LLC (NPI 1972060853), doing business as Winneconne Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Winneconne, Wisconsin and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Daniel Strause, Owner, as its authorized official.

NPPES Registry Identity

NPI1972060853
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWINNECONNE HOMETOWN PHARMACY LLC
Location Address911 E MAIN ST STE 300Winneconne, WI 54986-9731
Mailing Address333 Lowville RdRio, WI 53960-9437 · (920) 992-6800 · Fax (920) 614-6100
Phone(920) 706-0720
Fax(920) 706-0721
Organization SubpartNo
Authorized OfficialDaniel StrauseOwner · (920) 992-6800
Enumeration DateFebruary 27, 2019
Last NPPES UpdateSeptember 5, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1972060853 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
911 E MAIN ST STE 300, Winneconne, WI 54986
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Other Names 1

Doing Business AsWinneconne Hometown Pharmacy

Other Identifiers 1

Medicaid100310054WI

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 52D2163997

Winneconne Hometown Pharmacy · Winneconne, WI
Active · expires Mar 25, 2027
CLIA Number52D2163997
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorJudith Dudek
Laboratory Phone(920) 706-0720
Laboratory LocationWinneconne Hometown Pharmacy911 E Main St, Winneconne, WI 54986
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.

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.
35 services35 patients
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.
35 services35 patients

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 Winneconne Hometown Pharmacy LLC's NPI number?

The NPI number for Winneconne Hometown Pharmacy LLC is 1972060853. It was assigned to this organization in the NPPES registry on February 27, 2019. The provider is doing business as Winneconne Hometown Pharmacy.

Where is Winneconne Hometown Pharmacy LLC located?

Winneconne Hometown Pharmacy LLC is located at 911 E Main St Ste 300, Winneconne, WI 54986. The listed phone number is (920) 706-0720.

What is Winneconne Hometown Pharmacy LLC's specialty?

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

Does Winneconne Hometown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2163997) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Winneconne 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 Winneconne 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 Winneconne 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.