MABIE PHARMACY, LLC (NPI# 1366952293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366952293 |
| Entity Type | Organization |
| Organization Name | MABIE PHARMACY, LLC |
| Other Organization Name | FORWARD PHARMACY OF MCFARLAND |
| Practice Address |
4880 Larson Beach Rd Mc Farland WI 53558-8724 |
| Practice Telephone | 6088387455 |
| Practice Fax Number | 6088388329 |
| Mailing Telephone | 6088387455 |
| Mailing Fax Number | 6088388329 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MR. MATTHEW RYAN MABIE (OWNER) |
| Authorized Official Telephone | 6083475420 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | MABIE PHARMACY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
9484-042 | WI | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
9484-042 | WI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9484-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WISCONSIN PHARMACY LICENSE | 9484-042 | 01 |
| Other Name | Type Code |
|---|---|
| Forward Pharmacy of McFarland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932091 | Mabie Pharmacy, LLC | Pharmacy | 10 Liberty St # 106, Deerfield, WI 53531-9458 | 2017-10-05 |
| 1508376682 | Mabie Pharmacy, LLC | Pharmacy | 429 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 | 2017-10-03 |
| Street Address |
4880 LARSON BEACH RD |
| City | MC FARLAND |
| State | WI |
| Zip Code | 53558-8724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982646048 | Anthony Daniel Peterangelo | Pharmacist | 4880 Larson Beach Rd, Mc Farland, WI 53558-8724 | 2006-06-12 |
| 1447543509 | David Bruce Downie | Pharmacist | 4880 Larson Beach Rd, Mc Farland, WI 53558-8724 | 2011-05-24 |
| 1205870672 | Md Group LLC | Durable Medical Equipment & Medical Supplies | 4880 Larson Beach Rd, Mc Farland, WI 53558-8724 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306207949 | Elyse Marie Laing | Counselor | Common Threads, 5979 Siggelkow Rd., Mcfarland, WI 53558 | 2016-03-09 |
| 1851589568 | Wendy Sutor | Registered Nurse | 5810 Smith Ridge Rd, Mcfarland, WI 53558 | 2007-10-09 |
| 1346397700 | Kim R Robb | Chiropractor | 5708 Highway 51, Mcfarland, WI 53558 | 2007-01-05 |
| 1881754992 | James Paul Martin | Preventive Medicine | 520 Handeyside Lane, Suite 3, Fort Atkinson, WI 53558 | 2006-12-11 |
| 1255447462 | Village of Mcfarland | Ambulance | 5915 Milwaukee Street, Mcfarland, WI 53558 | 2006-08-21 |
| 1427071455 | Ann Marie Metzler | Chiropractor | 4861 Larson Beach Rd, Zelm Chiropractic Center Sc, Mcfarland, WI 53558 | 2006-07-25 |
| 1811950579 | Edward J Kramper | Family Medicine | 3694 E Dyreson Rd, Mc Farland, WI 53558 | 2006-04-11 |
| 1013976380 | Cathy Tanner Rn | Registered Nurse | 5910 Anthony Street, #102 Attn:greg Paske, Mcfarland, WI 53558 | 2006-03-23 |
| 1083869549 | Mcfarland Ems | Ambulance | 5915 Milwaukee Street, Mcfarland, WI 53558 | 2008-11-25 |
| 1912017088 | Sarah Nelson | Chiropractor | 4861 Larson Beach Rd, Mcfarland, WI 53558 | 2006-08-30 |
| Find all providers in zip 53558 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427073931 | Lct Enterprises, Inc | Pharmacy | 5700 Us Highway 51, Mc Farland, WI 53558-9319 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | MC FARLAND |
| Zip Code | 53558 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.