Peshtigo Hometown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9341-42 Issued in WI

Legal business name

PESHTIGO HOMETOWN PHARMACY LLC

Doing business as

Peshtigo Hometown Pharmacy

Practice address

960 Frontage Rd
Peshtigo, WI 54157-1702

Phone

(715) 582-0898

Fax

(715) 582-0897

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Daniel Strause

Title

Owner

Phone

(920) 992-6800

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Peshtigo Hometown 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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1801262662",
    "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": "960 FRONTAGE RD",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571702",
            "telephone_number": "715-582-0898",
            "fax_number": "715-582-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PESHTIGO HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "STRAUSE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "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": "WI",
            "license": "9341-42",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100304952",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peshtigo Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peshtigo Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Jo Oninski, OTA
• Jeffrey W. Orear, D.D.S.
• Carol L Orwig, FNPC
• Theresa Patenaude, LPC
• Peshtigo Health Care, LLC (Whispering Oaks Care Center)
• Peshtigo School District
• Faith C Pristel-Miller
• Rennes Assisted Living Corp (The Residence by Rennes Peshtigo)
• Rennes Health & Rehab Centers
• Rennes Nursing & Rehab

• Community/Retail Pharmacy in Peshtigo, WI
• Providers in Peshtigo, 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 Sep 9, 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.