NPIMap

Organization Active NPI

Mabie Pharmacy, LLC

Doing business as Forward Pharmacy of Monona

  • Community/Retail Pharmacy
  • Monona, WI
National Provider Identifier
1497521751
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MABIE PHARMACY, LLC
Doing business as
Forward Pharmacy of Monona
Practice address
5711 Monona Dr
Monona, WI 53716
Phone
(608) 221-8151
Fax
(608) 221-4682
NPI assigned
Nov 28, 2023
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Mr. Matthew Ryan Mabie, RPHNPI 1396788741
Title
Owner
Phone
(608) 839-3335

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5711 Monona Dr
Monona, WI 53716

Mailing address

2108 Uphoff Rd
Cottage Grove, WI 53527-9475
Phone (608) 347-5420

Other identifiers 1

IdentifierTypeStateIssuer
10154-42OtherWISTATE LICENSE

Other names 1

  • Forward Pharmacy of Monona Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mabie Pharmacy LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1497521751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 UPHOFF RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279475",
            "telephone_number": "608-347-5420",
            "fax_number": "608-839-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 MONONA DR",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "53716",
            "telephone_number": "608-221-8151",
            "fax_number": "608-221-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABIE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "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": "608-839-3335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10154-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Pharmacy of Monona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forward Pharmacy of Monona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.