Organization Active NPI

Blumon Corporation

Doing business as Forward Pharmacy of Cambridge

  • Community/Retail Pharmacy
  • Cambridge, WI
National Provider Identifier
1376693614
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7530-42 Issued in WI
Legal business name
BLUMON CORPORATION
Doing business as
Forward Pharmacy of Cambridge
Practice address
109 W Main St # 69
Cambridge, WI 53523-9141
Phone
(608) 423-3231
Fax
(608) 423-7128
NPI assigned
Jan 11, 2007
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Matt Mabie
Title
Owner
Phone
(608) 347-5420

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 7530-42 WI Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

109 W Main St # 69
Cambridge, WI 53523-9141

Mailing address

109 W Main St # 69
Cambridge, WI 53523-9141
Phone (608) 423-3231

Other identifiers 4

IdentifierTypeStateIssuer
1376693614MedicaidWI
2114772OtherPK
33211000MedicaidOK
7530-42OtherWISTATE LICENSE

Other names 1

  • Forward Pharmacy of Cambridge Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2270189Forward Pharmacy of Cambridge109 W Main St, Cambridge, WI 53523Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1376693614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST # 69",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239141",
            "telephone_number": "608-423-3231",
            "fax_number": "608-423-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST # 69",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239141",
            "telephone_number": "608-423-3231",
            "fax_number": "608-423-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUMON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "MABIE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-347-5420"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7530-42",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376693614",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2114772",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33211000",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7530-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Pharmacy of Cambridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, 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.

Verify at the official NPI Registry.