Organization Active NPI

Phillips Total Care Pharmacy Inc.

  • Long Term Care Pharmacy
  • Mauston, WI
National Provider Identifier
1639495237
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9001-42 Issued in WI
Legal business name
PHILLIPS TOTAL CARE PHARMACY INC.
Practice address
121 E State St
Mauston, WI 53948-1344
Phone
(608) 847-6337
Fax
(608) 847-5004
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Wayne E MacardyNPI 1649440124
Title
Owner/Pharmacist
Phone
(608) 847-6337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 9001-42 WI Primary

Addresses

Primary practice location

121 E State St
Mauston, WI 53948-1344

Mailing address

121 E State St
Mauston, WI 53948-1344
Phone (608) 847-6337

Other identifiers 2

IdentifierTypeStateIssuer
5132181OtherNCPDP PROVIDER IDENTIFICATION NUMBER
100009037MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110727000039 WI DME Supplier - Pharmacy 4880862499 Practice locations: Mauston, WI
O20210423000468 WI Part B Supplier - Pharmacy 4880862499 Practice locations: Mauston, WI

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Phillips Total Care Pharmacy Inc121 East State Street, Mauston, WI 53948(800) 343-3784 Blood Glucose Monitors/Supplies (Non-Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Ostomy Supplies|Urological Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Mar 4, 2021

National Provider Directory

National Provider Directory

Locations

125 E State St
Mauston, WI 53948

121 E State St
Mauston, WI 53948
Phone (608) 847-6337

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1639495237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481344",
            "telephone_number": "608-847-6337",
            "fax_number": "608-847-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481344",
            "telephone_number": "608-847-6337",
            "fax_number": "608-847-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS TOTAL CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "MACARDY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "608-847-6337"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9001-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5132181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100009037",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.