Individual provider Active NPI

Joanna Martyna Adamski, RPH

  • Pharmacist
  • Mauston, WI
National Provider Identifier
1700401338
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19946-40 Issued in WI
Practice address
406 Gateway Ave
Mauston, WI 53948-1401
Phone
(608) 847-2887
Fax
(608) 847-5199
NPI assigned
Jun 9, 2020
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19946-40 WI Primary

Addresses

Primary practice location

406 Gateway Ave
Mauston, WI 53948-1401

Mailing address

406 Gateway Ave
Mauston, WI 53948-1401
Phone (608) 847-2887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
19946-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MBMC Mauston Phillips LLC Current Accepting new patients

Locations

123 E State St
Mauston, WI 53948
Phone (608) 847-5949

406 Gateway Ave
Mauston, WI 53948
Phone (608) 350-0962

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1700401338",
    "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": "608-847-2887",
            "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": "608-847-2887",
            "fax_number": "608-847-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSKI",
        "first_name": "JOANNA",
        "middle_name": "MARTYNA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19946-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 27, 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.