PHILLIPS DRUG STORE, INC.
NPI 1740252857
Pharmacy in Mauston, WI

Active since February 02, 2006
123 E STATE ST, MAUSTON, WI 53948(608) 847-5949(608) 847-5004 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillips Drug Store, Inc. NPPES

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

PHILLIPS DRUG STORE, INC. (NPI 1740252857) is a healthcare organization registered as a pharmacy in Mauston, Wisconsin and active in the NPI registry since February 2006. The organization lists Wayne Macardy, President, as its authorized official.

NPPES Registry Identity

NPI1740252857
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePHILLIPS DRUG STORE, INC.
Location Address123 E STATE STMauston, WI 53948
Mailing AddressPo Box 136Mauston, WI 53948-0136 · (608) 847-5949
Fax(608) 847-5004
Organization SubpartNo
Authorized OfficialWayne MacardyPresident · (608) 847-5949
Enumeration DateFebruary 2, 2006
Last NPPES UpdateFebruary 9, 2011
NPI 1740252857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in WI · 5621042
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
123 E STATE ST, Mauston, WI 53948

Other Identifiers 2

Medicare ID-Type Unspecified0144300001
Medicaid33095800WI

Other Providers at the Same Location NPPES 3

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

Health Maintenance Organization
123 E STATE ST
MAUSTON, WI 53948
Pharmacist
123 E STATE ST
MAUSTON, WI 53948
Pharmacist
123 E STATE ST
MAUSTON, WI 53948

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 Phillips Drug Store, Inc.'s NPI number?

The NPI number for Phillips Drug Store, Inc. is 1740252857. It was assigned to this organization in the NPPES registry on February 2, 2006.

Where is Phillips Drug Store, Inc. located?

Phillips Drug Store, Inc. is located at 123 E State St, Mauston, WI 53948. The listed phone number is (608) 847-5949.

What is Phillips Drug Store, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Phillips Drug Store, Inc. was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.