Active NPI
Blumon Corporation
Doing business as Forward Pharmacy of Cambridge
- Community/Retail Pharmacy
- Cambridge, WI
National Provider Identifier
1376693614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 7530-42
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376693614 | Medicaid | WI | |
| 2114772 | Other | PK | |
| 33211000 | Medicaid | OK | |
| 7530-42 | Other | WI | STATE LICENSE |
Other names 1
- Forward Pharmacy of Cambridge
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 |
|---|---|---|---|
| 52D2270189 | Forward Pharmacy of Cambridge | Certificate of waiver | Oct 10, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Rio, WI
- NPI 1356450126
-
- Pharmacist
- Cottage Grove, WI
- NPI 1396788741
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.