MK STORES INC (NPI# 1902451149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902451149 |
| Entity Type | Organization |
| Organization Name | MK STORES INC |
| Other Organization Name | SNYDERS DRUG #212 |
| Practice Address |
56905 Station Dr Calumet MI 49913-2903 |
| Mailing Address |
1330 Us 41 W Ishpeming MI 49849-3152 |
| Practice Telephone | 9069342336 |
| Mailing Telephone | 9064855592 |
| Mailing Fax Number | 9064854482 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MIKE 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Snyders Drug #112 | Doing Business As Name - Organization |
| Snyders Drug #212 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013924323 | Mk Stores Inc | Pharmacy | 380 Us Highway 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1497704456 | Mk Stores Inc | Pharmacy | 128 W Genesee St, Iron River, MI 49935-1437 | 2006-05-08 |
| Street Address |
56905 STATION DR |
| City | CALUMET |
| State | MI |
| Zip Code | 49913-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386947695 | Sheri L. Giordana | Nurse Practitioner | 205 Osceola St., Aspirus Keweenaw, Laurium, MI 49913 | 2010-12-08 |
| 1700073376 | Body Mechanix Physical Therapy, LLC | Physical Therapist | 56730 Calumet Avenue, Suite M, Calumet, MI 49913 | 2007-09-27 |
| 1568843795 | Wanda Joan Kiiskila | Speech-Language Pathologist | 25770 Elm St, Calumet, MI 49913-1220 | 2015-06-12 |
| 1841464492 | Phoenix House Inc. | Substance Abuse Rehabilitation Facility | 57467 Waterworks St, Calumet, MI 49913-1258 | 2008-04-15 |
| 1225103500 | Aspirus Keweenaw Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 54 2nd St, Laurium, MI 49913-1319 | 2006-11-21 |
| 1417281411 | Superior Pediatrics, Pllc | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2009-09-23 |
| 1245462142 | Lisa L Spence | Nurse Practitioner | 324 5th St, Calumet, MI 49913-1502 | 2009-08-12 |
| 1003979501 | Jeffrey Evan Jacobs | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2006-12-18 |
| 1548214315 | Keweenaw Home Nursing, Inc. | Hospice Care, Community Based | 311 6th St, Calumet, MI 49913-1507 | 2006-05-19 |
| 1053895870 | Susan Louise Peterson | Physical Therapist | 311 6th St, Calumet, MI 49913-1507 | 2018-09-18 |
| Find all providers in zip 49913 | ||||
| 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 |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 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 | ||||
Please comment or provide details below to improve the information on MK STORES INC.
| 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.