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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MBMC MAUSTON PHILLIPS LLC
NPI 1699673533
Pharmacy - Long Term Care Pharmacy in Mauston, WI

Active since October 29, 2026
406 GATEWAY AVE, MAUSTON, WI 53948(608) 847-5949(608) 847-5199 Get Directions Write a Review

NPPES record added: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mbmc Mauston Phillips Llc NPPES

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

MBMC MAUSTON PHILLIPS LLC (NPI 1699673533), doing business as Mile Bluff Pharmacy - Ltc, is a healthcare organization registered as a long term care pharmacy in Mauston, Wisconsin and active in the NPI registry since October 2026. The organization lists Thomas Kaminski, Vp - Cfo, as its authorized official.

NPPES Registry Identity

NPI1699673533
Entity TypeOrganization
Primary Taxonomy3336L0003X
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 SubpartYesParent: Mile Bluff Medical Center Inc
Authorized OfficialThomas KaminskiVp - Cfo · (608) 847-1452
Enumeration DateOctober 29, 2026
Last NPPES UpdateOctober 30, 2026
NPPES CertifiedOctober 30, 2026
✔ NPI 1699673533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
406 GATEWAY AVE, Mauston, WI 53948
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Other Names 1

Doing Business AsMile Bluff Pharmacy - Ltc

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)
406 GATEWAY AVE
MAUSTON, WI 53948
Juneau County (608) 350-0962
MILE BLUFF MEDICAL CENTER INC
Non-Pharmacy Dispensing Site
406 GATEWAY AVE
MAUSTON, WI 53948
Juneau County (608) 847-1255
MILE BLUFF MEDICAL CENTER INC
Clinic/Center (Urgent Care)
406 GATEWAY AVE
MAUSTON, WI 53948
Juneau County (608) 847-2961
MBMC MAUSTON PHILLIPS LLC
Pharmacy (Community/Retail Pharmacy)
406 GATEWAY AVE
MAUSTON, WI 53948
Juneau County (608) 847-5949
MR. COLUMBA ROBERT LONIELLO MA
Pharmacy Technician
406 GATEWAY AVE
MAUSTON, WI 53948
Juneau County (608) 847-5949
JOANNA MARTYNA ADAMSKI RPH
Pharmacist
406 GATEWAY AVE
MAUSTON, WI 53948
Juneau County (608) 847-2887
MILE BLUFF MEDICAL CENTER INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
406 GATEWAY AVE
MAUSTON, WI 53948
Juneau County (608) 847-2961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mbmc Mauston Phillips LLC's NPI number?

The NPI number for Mbmc Mauston Phillips LLC is 1699673533. It was assigned to this organization in the NPPES registry on October 29, 2026. The provider is doing business as Mile Bluff Pharmacy - LTC.

Where is Mbmc Mauston Phillips LLC located?

Mbmc Mauston Phillips LLC is located at 406 Gateway Ave, Mauston, WI 53948. The listed phone number is (608) 847-5949.

What is Mbmc Mauston Phillips LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Mbmc Mauston Phillips LLC was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.