Active NPI
Mabie Pharmacy, LLC
Doing business as Forward Pharmacy of Deerfield
- Community/Retail Pharmacy
- Deerfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 9485-042
- Legal business name
- MABIE PHARMACY, LLC
- Doing business as
- Forward Pharmacy of Deerfield
- Practice address
- 10 Liberty St # 106
Deerfield, WI 53531-9458 - Phone
- (608) 764-1500
- Fax
- (608) 764-1600
- NPI assigned
- Oct 5, 2017
- Last updated
- Aug 29, 2025
- Organization subpart
- Yes
- Parent organization
- MABIE PHARMACY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Ryan Mabie, RPH
- Title
- Owner
- Phone
- (608) 347-5420
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 9485-042 | WI | Primary |
| Long Term Care Pharmacy | 3336L0003X | 9485-042 | WI | |
| Specialty Pharmacy | 3336S0011X | 9485-042 | WI |
Addresses
Primary practice location
10 Liberty St # 106
Deerfield, WI 53531-9458
Mailing address
PO Box 406
Deerfield, WI 53531-0406
Phone (608) 764-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164932091 | Medicaid | WI | |
| 9485-042 | Other | WI | STATE OF WISCONSIN PHARMACY LICENSE |
Other names 1
- Forward Pharmacy of Deerfield
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2270185 | Forward Pharmacy of Deerfield | Certificate of waiver | Oct 10, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Mabie Pharmacy LLC
- Part of
- Mabie Pharmacy LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Forward Pharmacy of Columbus
- Community/Retail Pharmacy
- Columbus, WI
- NPI 1053873521
-
dba Forward Pharmacy of Cottage Grove
- Community/Retail Pharmacy
- Cottage Grove, WI
- NPI 1295535755
-
dba Forward Pharmacy of McFarland
- Community/Retail Pharmacy
- McFarland, WI
- NPI 1366952293
-
dba Forward Pharmacy of Monona
- Community/Retail Pharmacy
- Monona, WI
- NPI 1497521751
-
dba Forward Pharmacy of McFarland
- Community/Retail Pharmacy
- McFarland, WI
- NPI 1518767086
-
dba Forward Pharmacy of Monona LTC
- Long Term Care Pharmacy
- Monona, WI
- NPI 1740056001
Locations
10 Liberty St
#106
Deerfield, WI 53531
Phone (608) 764-1500
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Cottage Grove, WI
- NPI 1396788741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1164932091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 406",
"city": "DEERFIELD",
"state": "WI",
"postal_code": "535310406",
"telephone_number": "608-764-1500",
"fax_number": "608-764-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LIBERTY ST # 106",
"city": "DEERFIELD",
"state": "WI",
"postal_code": "535319458",
"telephone_number": "608-764-1500",
"fax_number": "608-764-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MABIE PHARMACY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MABIE PHARMACY, LLC",
"enumeration_date": "2017-10-05",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "MABIE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-347-5420",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "9485-042",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "WI",
"license": "9485-042",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "WI",
"license": "9485-042",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164932091",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN PHARMACY LICENSE",
"identifier": "9485-042",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Forward Pharmacy of Deerfield",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deerfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.