Mbmc Mauston Phillips LLC
Mbmc Mauston Phillips LLC is a healthcare organization registered as Community/Retail Pharmacy in Mauston, WI, holding Type 2 (organization) NPI 1629520879 since 2016. The authorized official on file is Thomas Kaminski, Vp - Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629520879 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mbmc Mauston Phillips LLC |
| Other name | <Unavail> |
| Practice address | 406 GATEWAY AVE, Mauston, WI, 53948 |
| Phone | 6088475949 |
| Fax | 6088475199 |
| Enumeration date | 2016-11-03 |
| Last updated in NPPES | 2026-05-06 |
Authorized official
| Name | Thomas Kaminski |
|---|---|
| Title | Vp - Cfo |
| Phone | 6088471452 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Mbmc Mauston Phillips LLC NPI: 1629520879 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 406 GATEWAY AVE, Mauston, WI, 53948
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851438022 | Mile Bluff Medical Center Inc | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Mauston, WI |
| 1124473533 | Shopko Stores Operating Co LLC | Organization | Community/Retail Pharmacy | Mauston, WI |
| 1700401338 | Joanna Adamski | Individual | Pharmacist | Mauston, WI |
| 1902584956 | Ryback Cyzr Lomboy | Individual | Pharmacist | Mauston, WI |
| 1437958683 | Mile Bluff Medical Center Inc | Organization | Urgent Care Clinic/Center | Mauston, WI |
| 1326835380 | Mile Bluff Medical Center Inc | Organization | Non-Pharmacy Dispensing Site | Mauston, WI |
| 1639050925 | Columba Loniello | Individual | Pharmacy Technician | Mauston, WI |
Verify this record
Cross-check NPI 1629520879 against the authoritative CMS record: view Mbmc Mauston Phillips LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Mbmc Mauston Phillips LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-06.