Lancaster Pharmacy LLC

Organization Active NPI Community/Retail Pharmacy · Lancaster, WI

NPI 1437618451 · NPPES record last updated Feb 13, 2026

Key facts

NPI
1437618451
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
LANCASTER PHARMACY LLC
Practice address
1221 Hwy 61
Lancaster, WI 53813-9476
Phone
(608) 885-1155
Fax
(608) 885-1156
NPI assigned
Mar 19, 2019
Organization subpart
No

Authorized official

Name
Teri Lynn Welter Knoke, PHARMD
Title
Owner
Phone
(608) 885-1155

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2184881Lancaster Hometown Pharmacy LLC
1221 Hwy 61, Lancaster, WI 53813
Certificate of waiverMay 26, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190708000588 WI Part B Supplier - Pharmacy 4082949565 Practice locations: Lancaster, WI
O20260427002800 WI Part B Supplier - Pharmacy 5799252748 Practice locations: Lancaster, WI

National Provider Directory

Locations

1221 Highway 61
Lancaster, WI 53813
Phone (608) 885-1155

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Yes
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1221 Hwy 61
Lancaster, WI 53813-9476

Mailing address

1221 Hwy 61
Lancaster, WI 53813-9476
Phone (608) 885-1155

Other identifiers

IdentifierTypeStateIssuer
100087538MedicaidWI

Other names

  • LANCASTER HOMETOWN PHARMACY Doing business as
  • Lancaster Hometown Pharmacy LLC Former legal business name

Other providers in Lancaster, WI

All providers in Lancaster, WI · Community/Retail Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.