Kimberly Hometown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KIMBERLY HOMETOWN PHARMACY LLC

Practice address

W2721 Brookhaven Dr
Appleton, WI 54915-8184

Phone

(920) 423-3438

Fax

(920) 423-3489

NPI assigned

Feb 18, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diane L Deans

Title

Contracting Manager

Phone

(920) 992-6800

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Kimberly Hometown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Baerenwald, PHARM.D.

  • Pharmacist
  • Appleton, WI
  • NPI 1972944825
  NPD (past)
• McKenna Brust, PHARMD

  • Pharmacist
  • Neenah, WI
  • NPI 1215601497
  NPD (past)
• Sarah Michalski

  • Pharmacist
  • Appleton, WI
  • NPI 1407297369
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1295291045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LOWVILLE RD",
            "city": "RIO",
            "state": "WI",
            "postal_code": "539609437",
            "telephone_number": "920-992-6800",
            "fax_number": "920-614-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2721 BROOKHAVEN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549158184",
            "telephone_number": "920-423-3438",
            "fax_number": "920-423-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "DEANS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "920-992-6800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100382764",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenden Thomas Kiger, D.C.
• Sarah Elizabeth Kiger, D.C.
• Karly Kilgas
• Megan Kilsdonk
• Ashley Lynn Kim, BTT
• Kinex Medical Company, LLC
• Anna L King, PA
• Kimberly Marie King
• Wendy Kinley, PTA
• Mariah Kinnard

• Community/Retail Pharmacy in Appleton, WI
• Providers in Appleton, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.