MBMC MAUSTON PHILLIPS LLC NPI 1629520879

NPI Details

MBMC MAUSTON PHILLIPS LLC is a community/retail pharmacy pharmacy in Mauston, WI. The provider is 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. MBMC MAUSTON PHILLIPS LLC NPI is 1629520879. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

406 GATEWAY AVE
MAUSTON, WI
ZIP 53948-401
Phone: (608) 847-5949
Fax: (608) 847-5199

The provider's authorized official is Thomas Kaminski .
The authorized official title is Vp/cfo and has the following contact phone number (608) 847-1452.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 11/3/2016 and was last updated on 5/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: