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MBMC MAUSTON PHILLIPS, LLC
NPI 1770433864
Pharmacy - Community/Retail Pharmacy in New Lisbon, WI

Active since January 29, 2026
901 W BRIDGE ST, NEW LISBON, WI 53950(608) 562-3302 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 1770433864), doing business as Mile Bluff Pharmacy - New Lisbon, is a healthcare organization registered as a community/retail pharmacy in New Lisbon, Wisconsin and active in the NPI registry since January 2026. The organization lists Tom Kaminski, Vp - Cfo, as its authorized official.

NPPES Registry Identity

NPI1770433864
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMBMC MAUSTON PHILLIPS, LLC
Location Address901 W BRIDGE STNew Lisbon, WI 53950-1083
Mailing Address901 W Bridge StNew Lisbon, WI 53950-1083 · (608) 562-3302
Phone(608) 562-3302
Organization SubpartYes
Authorized OfficialTom KaminskiVp - Cfo · (608) 847-1452
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1770433864 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.
901 W BRIDGE ST, New Lisbon, WI 53950
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Other Names 1

Doing Business AsMile Bluff Pharmacy - New Lisbon

Other Providers at the Same Location NPPES 4

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

MILE BLUFF MEDICAL CENTER INC
Clinic/Center (Rural Health)
901 W BRIDGE ST
NEW LISBON, WI 53950
Juneau County (608) 847-6161
TIMOTHY R. HINTON M.D.
Family Medicine
901 W BRIDGE ST
NEW LISBON, WI 53950
Juneau County (608) 562-3111
ANNE B. FENWICK PA
Physician Assistant
901 W BRIDGE ST
NEW LISBON, WI 53950
Juneau County (608) 562-3111
GLORIA J. NACHREINER PAC
Physician Assistant
901 W BRIDGE ST
NEW LISBON, WI 53950
Juneau County (608) 562-3111

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 1770433864. It was assigned to this organization in the NPPES registry on January 29, 2026. The provider is doing business as Mile Bluff Pharmacy - New Lisbon.

Where is Mbmc Mauston Phillips, LLC located?

Mbmc Mauston Phillips, LLC is located at 901 W Bridge St, New Lisbon, WI 53950. The listed phone number is (608) 562-3302.

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.

When was this NPI record last updated?

The NPPES record for Mbmc Mauston Phillips, LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.