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Edit this profileWautoma Hometown Pharmacy LLC is an organization based in Wautoma, WI and listed in the NPI registry under community / retail pharmacy. This organization is also listed as specializing in durable medical equipment & supplies and pharmacy. According to Medicare claims data, the services billed most often include administration of influenza virus vaccine, sarscov2 vac 50 mcg/0.5ml im, and influenza vaccine, inactivated. This provider record is associated with NPI 1174187827.
Factual summary compiled by Guide.md from public records; not written by this provider.
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
W7810 STATE ROAD 21 73 STE 300
Wautoma, WI 54982
165 services · 165 patients · 4 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Sarscov2 vac 50 mcg/0.5ml im | Treatment | 91322 |
40 |
| Influenza vaccine, inactivated | Treatment | 90653 |
40 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
40 |
| Administration of influenza virus vaccine | Billing code | G0008 |
45 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Wautoma Hometown Pharmacy LLC is a community / retail pharmacy in Wautoma, WI. That is the designation recorded for this NPI in the federal registry.
NPI registry
Wautoma Hometown Pharmacy LLC is listed at W7810 State Road 21 73 Ste 300, Wautoma, WI 54982. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (920) 787-9561. Contact the office directly to confirm availability and scheduling.
NPI registry
Wautoma Hometown Pharmacy LLC's National Provider Identifier is 1174187827. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
According to Medicare billing data, Wautoma Hometown Pharmacy LLC provides treatments such as sarscov2 vac 50 mcg/0.5ml im and influenza vaccine, inactivated. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Wautoma Hometown Pharmacy LLC. If this is you, claiming it is free.
Guide.md
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