M & M Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

208709 Issued in KS

Legal business name

M & M DRUG CO

Practice address

4501 Rainbow Blvd
Kansas City, KS 66103-3428

Phone

(913) 262-5553

Fax

(913) 262-4408

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mark Williams, BS

Title

Third Party Plan Coordinator

Phone

(913) 262-5553

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Mark's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1225100019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033428",
            "telephone_number": "913-262-5553",
            "fax_number": "913-262-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033428",
            "telephone_number": "913-262-5553",
            "fax_number": "913-262-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "913-262-5553",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "208709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1714105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443820B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603176108",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443820A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon G Lynch, M.D,
• William Dean Lynch III
• Laura Marie Lyons, APRN
• Narda Isabel Lyons
• Katherine Elizabeth Lysaught, APRN
• M-Transportation LLC
• Yixuan Ma
• Laith N Maali, M.D
• Kayla Danielle Maalouf, MD
• Ian Scott Mabry, APRN

• Community/Retail Pharmacy in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.