Kimberly Hometown Pharmacy Llc

LBN: Kimberly Hometown Pharmacy Llc
Kimberly Hometown Pharmacy Llc is an health care organization with primary practice located at W2721 Brookhaven Dr , Appleton WI 54915-8184. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kimberly Hometown Pharmacy Llc can be contacted via phone (920) 423-3438, or through Deans, Diane L via phone (920) 992-6800.

Contact Information

Primary practice address
W2721 Brookhaven Dr Appleton WI 54915-8184
Phone: (920) 423-3438
Fax: (920) 423-3489
Website:
Map and Directions
Authorized official contact:
Name: Deans, Diane L
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1295291045
LBN Legal business name Kimberly Hometown Pharmacy Llc
DBA Doing business as
Authorized official Deans, Diane L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2019
Last updated Dec 2nd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295291045 NPPES
Wisconsin MEDICAID 100382764

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