M K STORES INC (NPI# 1114934189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114934189 |
| Entity Type | Organization |
| Organization Name | M K STORES INC |
| Other Organization Name | SNYDER DRUG #208 |
| Practice Address |
7293 M-123 Newberry MI 49868 |
| Practice Telephone | 9062938571 |
| Practice Fax Number | 9062931692 |
| Mailing Telephone | 9062938571 |
| Mailing Fax Number | 9062931692 |
| Enumeration Date | 2006-08-02 |
| 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 | 5301007412 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007412 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NAB NUMBER | 2362820 | 01 |
| Other Name | Type Code |
|---|---|
| SNYDER DRUG #208 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1033125836 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 130 E State Highway M-35, Gwinn, MI 49841 | 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 |
7293 M-123 |
| City | NEWBERRY |
| State | MI |
| Zip Code | 49868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700119989 | Kathy Ballard Behavioral Health Services LLC | Social Worker | 405 Newberry Avenue, Newberry, MI 49868 | 2009-09-06 |
| 1063657286 | Up Superior Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 13534 State Highway 28, Newberry, MI 49868 | 2008-12-03 |
| 1447349576 | Denise Magdalene Danaher | Registered Nurse | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2006-10-12 |
| 1912932757 | Brian Joseph Bezotte | Social Worker | 14126 West County Road 428, Newberry, MI 49868 | 2006-07-11 |
| 1710944525 | Hilary S Newby | Dentist | 7793 S Newberry Ave, Newberry, MI 49868 | 2006-04-26 |
| 1700112141 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 405 Newberry Avenue, Room 2, Newberry, MI 49868 | 2009-10-20 |
| 1265561260 | Luce-mackinac Health Department | Home Health | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1700915709 | Luce-mackinac Health Department | Hospice Care, Community Based | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1578691242 | Luce-mackinac Health Department | Public Health or Welfare | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-02 |
| 1659372654 | Brian Scott Stoynoff | Chiropractor | 224 Newberry Ave, Newberry, MI 49868-1103 | 2005-08-02 |
| Find all providers in zip 49868 | ||||
| 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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| 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.