M K STORES INC (NPI# 1982611331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982611331 |
| Entity Type | Organization |
| Organization Name | M K STORES INC |
| Other Organization Name | SNYDER RX EXPRESS |
| Practice Address |
110 S Main St Ishpeming MI 49849-1820 |
| Practice Telephone | 9064864405 |
| Practice Fax Number | 9064864406 |
| Mailing Telephone | 9064864405 |
| Mailing Fax Number | 9064864406 |
| 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 | 5301006524 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006524 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NABP NUMBER | 2356598 | 01 |
| Other Name | Type Code |
|---|---|
| Snyder RX Express | 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 |
| 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 |
| Street Address |
110 S MAIN ST |
| City | ISHPEMING |
| State | MI |
| Zip Code | 49849-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790087088 | Steven Mark Lyford | Pharmacist | 110 S Main St, Ishpeming, MI 49849-1820 | 2010-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707912 | Trevor Doren | Physician Assistant | 813 Braastads Road, Ishpeming, MI 49849 | 2020-03-31 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1316351224 | Great Lakes Recovery Centers | Clinic/Center | 97 S. 4th Street, Suite C, Ishpeming, MI 49849 | 2014-06-18 |
| 1689098857 | Karen Duquette | Psychologist | 540 E Division St, Ishpeming, MI 49849 | 2014-02-09 |
| 1063796456 | Brian E. Anderson, D.d.s., Pllc | Clinic/Center | 125 N. Pansy St, Ishpeming, MI 49849 | 2011-10-04 |
| 1689658973 | Joel A Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2005-12-01 |
| 1538791975 | David Scott Swanson | Registered Nurse | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2020-02-04 |
| 1669831756 | Bell Auxiliary | Voluntary or Charitable | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2016-02-17 |
| 1982831749 | Brian Edward Anderson | Dentist | 125 N Pansy Street, Ishpeming, MI 49849 | 2009-06-18 |
| 1356546378 | Kelly Rose Menge | Obstetrics & Gynecology | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2007-06-19 |
| Find all providers in zip 49849 | ||||
| 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.