MBMC Mauston Phillips LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MBMC MAUSTON PHILLIPS LLC

Doing business as

Mile Bluff Pharmacy
Mile Bluff Pharmacy - Mauston

Practice address

406 Gateway Ave
Mauston, WI 53948-1401

Phone

(608) 847-5949

Fax

(608) 847-5199

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Thomas Kaminski

Title

VP - Cfo

Phone

(608) 847-1452

Specialties & licenses 1

Addresses

Other names 2

• Mile Bluff Pharmacy Doing business as
• Mile Bluff Pharmacy - Mauston Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mile Bluff Medical Center Inc

  • Urgent Care Clinic/Center
  • Mauston, WI
  • NPI 1437958683

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• MBMC Mauston Phillips, LLC

  • Community/Retail Pharmacy
  • New Lisbon, WI
  • NPI 1770433864
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna Martyna Adamski, RPH

  • Pharmacist
  • Mauston, WI
  • NPI 1700401338
  NPD

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1629520879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 GATEWAY AVE",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481401",
            "telephone_number": "608-847-5949",
            "fax_number": "608-847-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 GATEWAY AVE",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481401",
            "telephone_number": "608-847-5949",
            "fax_number": "608-847-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBMC MAUSTON PHILLIPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP - CFO",
        "authorized_official_telephone_number": "608-847-1452"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile Bluff Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mile Bluff Pharmacy - Mauston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Marty, R.N.
• Mauston Area Ambulance Association Inc
• Mauston Family Eyecare, LLC
• Mauston School District
• Carol A Mazur, RN
• Kelly Lynn McCann, RN
• Veronica McCarthy, LCSW
• Christine A McCasey, LPC
• Joyce Anne McConnell, LCSW
• Patrick Michael McCormick, DDS

• Community/Retail Pharmacy in Mauston, WI
• Providers in Mauston, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.