NPIMap

Organization Active NPI

Mike Flint Enterprises Inc

  • Community/Retail Pharmacy
  • Madison, WI
National Provider Identifier
1023461282
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8532-42 Issued in WI
Legal business name
MIKE FLINT ENTERPRISES INC
Doing business as
Mallatt's Homecare Pharmacy
Practice address
3250 Kingsley Way
Madison, WI 53713-4628
Phone
(608) 310-9922
Fax
(608) 442-8490
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Flint
Title
Owner
Phone
(608) 310-9922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 8532-42 WI Primary

Addresses

Primary practice location

3250 Kingsley Way
Madison, WI 53713-4628

Mailing address

3250 Kingsley Way
Madison, WI 53713-4628
Phone (608) 310-9922

Other identifiers 2

IdentifierTypeStateIssuer
33272600MedicaidWI
2162165OtherPK

Other names 1

  • Mallatt's Homecare Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mallatt Pharmacy and Costume 1012 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1023461282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 KINGSLEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134628",
            "telephone_number": "608-310-9922",
            "fax_number": "608-442-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 KINGSLEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134628",
            "telephone_number": "608-310-9922",
            "fax_number": "608-442-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE FLINT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-310-9922"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8532-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33272600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mallatt's Homecare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.