Monroe Hometown Pharmacy West LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MONROE HOMETOWN PHARMACY WEST LLC

Doing business as

Monroe Hometown Pharmacy West

Practice address

418 W 10 1/2 St
Monroe, WI 53566-1378

Phone

(608) 426-6540

Fax

(608) 426-6561

NPI assigned

Feb 18, 2019

Last updated

Sep 9, 2025By the provider in NPPES

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

Contracting Manager

Phone

(920) 992-6800

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Monroe Hometown Pharmacy West Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Monroe Hometown Pharmacy West2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Monroe Hometown Pharmacy West LLC

  dba Monroe Hometown Pharmacy West LTC

  • Long Term Care Pharmacy
  • Monroe, WI
  • NPI 1699522904
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Kubly

  • Nurse Practitioner
  • Middleton, WI
  • NPI 1164154399
  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": "1757376000000",
    "number": "1871059626",
    "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": "418 W 10 1/2 ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661378",
            "telephone_number": "608-426-6540",
            "fax_number": "608-426-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE HOMETOWN PHARMACY WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "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": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "920-992-6800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086153",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Hometown Pharmacy West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Hometown Pharmacy West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Monroe Hometown Pharmacy West LLC (Monroe Hometown Pharmacy West LTC)
• Monroe Medical Equipment Inc
• Monroe Medical Supply LLC
• Monroe School District
• Ashley Moore, PHARMD
• Nathan W. Moore, M.D.

• Community/Retail Pharmacy in Monroe, WI
• Providers in Monroe, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.