Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MBMC MAUSTON PHILLIPS LLC
NPI 1629520879
Pharmacy - Community/Retail Pharmacy in Mauston, WI

Q: What is Mbmc Mauston Phillips LLC's NPI number?

The NPI number for Mbmc Mauston Phillips LLC is 1629520879. It was assigned to this organization in the NPPES registry on November 3, 2016. The provider is doing business as Mile Bluff Pharmacy and Mile Bluff Pharmacy - Mauston.

Q: What is Mbmc Mauston Phillips LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since November 03, 2016

406 GATEWAY AVE, MAUSTON, WI 53948(608) 847-5949(608) 847-5199 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Jan 29, 2026, May 5, 2025 and 7 more (10 updates tracked since 2016).

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About Mbmc Mauston Phillips Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MBMC MAUSTON PHILLIPS LLC (NPI 1629520879), doing business as Mile Bluff Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Mauston, Wisconsin and active in the NPI registry since November 2016. The organization lists Thomas Kaminski, Vp - Cfo, as its authorized official.

NPPES Registry Identity

NPI1629520879

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMBMC MAUSTON PHILLIPS LLC

Location Address406 GATEWAY AVEMauston, WI 53948-1401

Mailing Address406 Gateway AveMauston, WI 53948-1401 · (608) 847-5949 · Fax (608) 847-5199

Phone(608) 847-5949

Fax(608) 847-5199

Organization SubpartNo

Authorized OfficialThomas KaminskiVp - Cfo · (608) 847-1452

Enumeration DateNovember 3, 2016

Last NPPES UpdateJune 15, 202610 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1629520879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

406 GATEWAY AVE, Mauston, WI 53948

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Other Names 2

Doing Business AsMile Bluff Pharmacy

Doing Business AsMile Bluff Pharmacy - Mauston

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

105 services104 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

100 services99 patients

Medical Equipment Supplier Medicare DMEPOS 28

Medicare supplier enrollment and the product categories Phillips Pharmacy carries, from the Medicare DMEPOS supplier directory.

Phillips Pharmacy

DMEPOS supplier · Mauston, WIOperated by Mbmc Mauston Phillips LLC

✔

Accepts Medicare assignment

Phillips Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20475689

Medicare Participant SinceNovember 23, 2016

Supplier Location123 E State StMauston, WI 53948

Phone(608) 847-5949

Supplier Specialties

Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Continuous Passive Motion (CPM) Devices

Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

External Infusion Pumps and/or Supplies

An infusion pump is necessary to safely administer the drug

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)