WATERLOO HOMETOWN PHARMACY LLC (NPI# 1831693134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831693134 |
| Entity Type | Organization |
| Organization Name | WATERLOO HOMETOWN PHARMACY LLC |
| Other Organization Name | WATERLOO HOMETOWN PHARMACY |
| Practice Address |
806 N Monroe St Waterloo WI 53594-1135 |
| Mailing Address |
333 Lowville Rd Rio WI 53960-9437 |
| Practice Telephone | 9204788273 |
| Practice Fax Number | 9204788274 |
| Mailing Telephone | 9209926800 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | DIANE DEANS (CONTRACTING) |
| Authorized Official Telephone | 9209926800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9505 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177494 | 01 |
| Other Name | Type Code |
|---|---|
| WATERLOO HOMETOWN PHARMACY | Doing Business As Name - Organization |
| Street Address |
806 N MONROE ST |
| City | WATERLOO |
| State | WI |
| Zip Code | 53594-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437571320 | Waterloo Family Dental | Dentist | 245 N. Monroe Street, Waterloo, WI 53594 | 2014-01-10 |
| 1073672440 | Drs Anderson & Arena | Dentist | 245 N Monroe St, Waterloo, WI 53594 | 2006-12-08 |
| 1407921729 | Krystal Renee Allison | Registered Nurse | N7809 Toppe Rd, Waterloo, WI 53594 | 2006-11-21 |
| 1467837054 | Emilie Benisch | Licensed Practical Nurse | 362 Crestview Dr, Waterloo, WI 53594-1011 | 2015-07-23 |
| 1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
| 1447445465 | Joseph L Arena | Dentist | 245 N Monroe St, Drs Anderson & Arena, Waterloo, WI 53594-1126 | 2007-09-12 |
| 1447882212 | Adrianne Parker Anding | Specialist/Technologist | 324 N Monroe St Apt A, Waterloo, WI 53594-1154 | 2020-02-10 |
| 1275712804 | Waterloo School District | Local Education Agency (LEA) | 813 N Monroe St, Waterloo, WI 53594-1171 | 2007-10-31 |
| 1053361246 | Jenifer A Siragusa | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2006-05-11 |
| 1427232495 | Watertown Regional Medical Center Inc | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2007-12-26 |
| Find all providers in zip 53594 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1528349347 | Hy Vee Inc | Pharmacy | 2834 Ansborough Ave, Waterloo, IA 50701-4418 | 2011-09-07 |
| 1265529408 | Girsch Pharmacies, Inc. | Pharmacy | 2027 Falls Ave, Waterloo, IA 50701-2359 | 2006-10-09 |
| 1013923606 | Walgreen Co | Pharmacy | 111 W Ridgeway Ave, Waterloo, IA 50701-4233 | 2006-08-01 |
| 1003838749 | Iowa Cvs Pharmacy LLC | Pharmacy | 1501 E San Marnan Dr, Waterloo, IA 50702-4300 | 2006-07-24 |
| 1124069034 | Iowa Cvs Pharmacy LLC | Pharmacy | 207 Franklin St, Waterloo, IA 50703-3515 | 2006-06-10 |
| 1871542977 | Greenwood Drug, Inc. | Pharmacy | 224 Byron Ave, Waterloo, IA 50702-3704 | 2006-05-08 |
| 1134127442 | Allen Memorial Hospital | Pharmacy | 1731 W Ridgeway Ave, Waterloo, IA 50701-4595 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.