M K STORES INC (NPI# 1033125836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033125836 |
| Entity Type | Organization |
| Organization Name | M K STORES INC |
| Other Organization Name | SNYDER DRUG #104 |
| Practice Address |
130 E State Highway M-35 Gwinn MI 49841 |
| Practice Telephone | 9063460104 |
| Practice Fax Number | 9063466422 |
| Mailing Telephone | 9063460104 |
| Mailing Fax Number | 9063466422 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | MR. MIKE PRUETT (SYSTEMS MANAGER) |
| Authorized Official Telephone | 9063610486 |
| Is Organization Subpart | Y |
| Parent Organization Name | MK STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301006378 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006378 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NABP NUMBER | 2355433 | 01 |
| Other Name | Type Code |
|---|---|
| SNYDER DRUG #104 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114934189 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 7293 M-123, Newberry, MI 49868 | 2006-08-02 |
| 1386650182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 415 E M-28, Munising, MI 49862 | 2006-08-01 |
| 1689680480 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 390 Us 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1053327858 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 5091 Us 41 South, Marquette, MI 49855 | 2006-08-01 |
| 1548275951 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 933 Riverside Plz, Iron River, MI 49935-1529 | 2006-07-31 |
| 1609881069 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 1330 Us Highway 41 W, Ishpeming, MI 49849-3152 | 2006-07-31 |
| 1194019182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 1015 N 3rd St, Marquette, MI 49855-3500 | 2011-06-07 |
| 1982611331 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 110 S Main St, Ishpeming, MI 49849-1820 | 2006-08-01 |
| Street Address |
130 E STATE HIGHWAY M-35 |
| City | GWINN |
| State | MI |
| Zip Code | 49841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904229 | Gwendolyn Buck Dds Pllc | Clinic/Center | 271 East Sate Highway M-35, Gwinn, MI 49841 | 2019-07-22 |
| 1174905715 | Laurie Robinson | Home Health | 262 Carbon St, Gwinn, MI 49841 | 2015-06-19 |
| 1114183175 | Autumn M Trudeau | Nurse Practitioner | 50 West M-35, Gwinn, MI 49841 | 2008-07-30 |
| 1770755886 | Sands Township | Ambulance | 987 South State Hwy M-553, Gwinn, MI 49841 | 2008-03-28 |
| 1720202146 | Vicki Hyde | Pharmacist | 130 E State Highway M35, Gwinn, MI 49841 | 2007-04-13 |
| 1043260995 | Catherine A Kroll | Family Medicine | 135 E. M-35, Gwinn, MI 49841 | 2006-05-11 |
| 1548792781 | Shayna M Orlich | Nurse Practitioner | 135 E M35, Gwinn, MI 49841 | 2017-03-28 |
| 1457301319 | Catherine A Kroll, Do,pc | Family Medicine | 135 E. M-35, Gwinn, MI 49841 | 2006-05-11 |
| 1144543745 | Ann Louise Howell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Provider St, Gwinn, MI 49841-2726 | 2010-03-10 |
| 1700103777 | Upper Great Lakes Family Health Center | Family Medicine | 301 Explorer Street, Gwinn, MI 49841-2813 | 2010-04-29 |
| Find all providers in zip 49841 | ||||
| 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] |
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| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
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| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.