MBMC Mauston Phillips, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MBMC MAUSTON PHILLIPS, LLC

Doing business as

Mile Bluff Pharmacy - Necedah

Practice address

1408 Wheelihan Ave
Necedah, WI 54646-8253

Phone

(608) 847-2854

NPI assigned

Jan 29, 2026

Last updated

Jan 29, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MILE BLUFF PHARMACYAs reported in NPPES

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

Authorized official

Name

Tom Kaminski

Title

VP - Cfo

Phone

(608) 847-1452

Specialties & licenses 1

Addresses

Other names 1

• Mile Bluff Pharmacy - Necedah Doing business as

Tax ID family

MBMC Mauston Phillips LLC3 organizations share this tax ID, including this one

Part of

MBMC Mauston Phillips LLC

Other organizations with this tax ID 2

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

• MBMC Mauston Phillips, LLC

  dba Mile Bluff Pharmacy - Elroy

  • Community/Retail Pharmacy
  • Elroy, WI
  • NPI 1720938806
  NPD tax ID
• MBMC Mauston Phillips, LLC

  dba Mile Bluff Pharmacy - New Lisbon

  • Community/Retail Pharmacy
  • New Lisbon, WI
  • NPI 1770433864
  NPD tax ID

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1801746987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 WHEELIHAN AVE",
            "city": "NECEDAH",
            "state": "WI",
            "postal_code": "546468253",
            "telephone_number": "608-847-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 WHEELIHAN AVE",
            "city": "NECEDAH",
            "state": "WI",
            "postal_code": "546468253",
            "telephone_number": "608-847-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBMC MAUSTON PHILLIPS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILE BLUFF PHARMACY",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "TOM",
        "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 - Necedah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deer Path Integrated Inc
• Deer Path Integrated, Inc.
• Erica Alexandra Falk-Huzar, PSYD, SAC, CNHP
• John A Glavin, D.C.
• Jessica Koluch
• Mile Bluff Clinic, LLP
• Mile Bluff Medical Center Inc (Mile Bluff Necedah Clinic)
• Lynn Miller
• Necedah Area School District
• Necedah Fire and Rescue Inc.

• Community/Retail Pharmacy in Necedah, WI
• Providers in Necedah, 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 Jan 29, 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.