Hometown Long Term Care Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

9427-42 Issued in WI

Legal business name

HOMETOWN LONG TERM CARE PHARMACY LLC

Practice address

1571 Ivory Dr
Sun Prairie, WI 53590-1820

Phone

(608) 846-2750

Fax

(608) 846-2751

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Diane Deans

Title

Contracting Specialist

Phone

(920) 992-6800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hometown Long Term Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• MD Group II LLC

  • Community/Retail Pharmacy
  • New Glarus, WI
  • NPI 1730121039

  Member Of

  NPD member

Practitioners 2

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

• Calvin Lee

  • Pharmacist
  • Sun Prairie, WI
  • NPI 1285457119
  NPD (past)
• Ann Zumach, RPH

  • Pharmacist
  • Sun Prairie, WI
  • NPI 1376896191
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1659634988",
    "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": "920-992-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 IVORY DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901820",
            "telephone_number": "608-846-2750",
            "fax_number": "608-846-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN LONG TERM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2025-09-19",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "DEANS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "920-992-6800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9427-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137457",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Hill
• Kasheena S Hollis, DMD
• Bryan Holmstrom, PT
• Melanie Louise Holt
• Tania Lee Holzhueter, COTA
• Hope&Helping Care LLC
• Hopwood Logistics LLC
• Bradley Hopwood
• Jeffrey E Horkan, DC
• Patricia L Hottmann-Rindy, LCSW

• Long Term Care Pharmacy in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.