M K STORES INC (NPI# 1689680480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689680480 |
| Entity Type | Organization |
| Organization Name | M K STORES INC |
| Other Organization Name | SNYDER PHARMACY |
| Practice Address |
390 Us 41 East Negaunee MI 49866 |
| Practice Telephone | 9064759967 |
| Practice Fax Number | 9064757310 |
| Mailing Telephone | 9064759967 |
| Mailing Fax Number | 9064757310 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | MR. MICHAEL PAUL PRUETT (SYSTEMS MANAGER) |
| Authorized Official Telephone | 9064855592 |
| 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 | 5301002396 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301002396 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NABP NUMBER | 2318803 | 01 |
| Other Name | Type Code |
|---|---|
| SNYDER PHARMACY | 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 |
| 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 |
390 US 41 EAST |
| City | NEGAUNEE |
| State | MI |
| Zip Code | 49866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352121 | David Levi Jylha | Custodial Care Facility | 225 County Rd 480, Negaunee, MI 49866 | 2018-07-06 |
| 1457874455 | Anne Marie Marshall | Counselor | 104 Malton Rd., Asc Great Lakes Recovery, Negaunee, MI 49866 | 2017-07-21 |
| 1114336286 | Jordan Jarvi | Physical Therapy Assistant | 600 Us Highway 41, Negaunee, MI 49866 | 2014-08-04 |
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1144408220 | Dan Whitley Collins | Dentist | 100 Croix Street, Negaunee, MI 49866 | 2008-01-31 |
| 1588705602 | Denise Evie Koehn | Nurse Practitioner | Marquette County Health Dept., 184 Hwy 41 East, Negaunee, MI 49866 | 2007-02-09 |
| 1659467744 | Sandra K Mccowen | Family Medicine | 100 Malton Rd., Negaunee, MI 49866 | 2006-10-05 |
| 1013924323 | Mk Stores Inc | Pharmacy | 380 Us Highway 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1568432342 | Professional Breathing Associates Inc | Prosthetic/Orthotic Supplier | 256 U.S. 41 East, Negaunee, MI 49866 | 2006-01-25 |
| 1154816676 | Kenneth William Lacosse | Counselor | 104 Malton Rd, Negaunee, MI 49866 | 2018-06-27 |
| Find all providers in zip 49866 | ||||
| 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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| 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.