NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Source One Healthcare A Division of Phillips Pharmacies

Health Maintenance Organization in Mauston, WI · enumerated 2006 · authorized official Wayne Macardy, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205997517

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Source One Healthcare A Division of Phillips Pharmacies
Other name <Unavail>
Parent organization Phillips Drug Store Inc.
Practice address 123 E State St, Mauston, WI, 53948
Phone (800) 779-1276
Fax (608) 847-5739
Enumeration date Dec 12, 2006
Last updated in NPPES Nov 13, 2007

Taxonomy & classification

302R00000X Health Maintenance Organization Managed Care Organizations Primary

Authorized official

Name Wayne Macardy
Title President
Phone (800) 779-1276

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Source One Healthcare A Division of Phillips Pharmacies?
Source One Healthcare A Division of Phillips Pharmacies is registered in NPPES as a Health Maintenance Organization (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-13.