MD GROUP II LLC NPI 1669416905

NPI Information

NPI: 1669416905
Provider Name: MD GROUP II LLC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: VERONA HOMETOWN PHARMACY
CLIA Number: 52D2128352
Address: 202 S MAIN ST
VERONA, WI
ZIP 53593
Phone: (608) 848-8020

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NPI Details

MD GROUP II LLC is a community/retail pharmacy pharmacy in Verona, WI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MD GROUP II LLC NPI is 1669416905. The provider is registered as an organization entity type.
The provider Is Doing Business As Verona Hometown Pharmacy.

The provider's business location address is:

202 S MAIN ST
VERONA, WI
ZIP 53593-422
Phone: (608) 848-8020
Fax: (608) 848-8024

The provider's authorized official is Daniel Strause .
The authorized official title is Ceo/owner and has the following contact phone number (920) 992-6800.

The CLIA number assigned to this NPI record is 52D2128352 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 6/16/2006 and was last updated on 5/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	333600000X	Pharmacy				No
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	8422042	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33277500	MEDICAID	WISCONSIN
2	5128029	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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