Organization Active NPI

MBMC Mauston Phillips LLC

Doing business as Mile Bluff Pharmacy - LTC

  • Long Term Care Pharmacy
  • Mauston, WI
National Provider Identifier
1699673533
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MBMC MAUSTON PHILLIPS LLC
Doing business as
Mile Bluff Pharmacy - LTC
Practice address
406 Gateway Ave
Mauston, WI 53948-1401
Phone
(608) 847-5949
Fax
(608) 847-5199
NPI assigned
Oct 29, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MILE BLUFF MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

406 Gateway Ave
Mauston, WI 53948-1401

Mailing address

406 Gateway Ave
Mauston, WI 53948-1401
Phone (608) 847-5949

Other names 1

  • Mile Bluff Pharmacy - LTC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1699673533",
    "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": "YES",
        "parent_organization_legal_business_name": "MILE BLUFF MEDICAL CENTER INC",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile Bluff Pharmacy - LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 2026; 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.