Kirk Wilson Martin Drug & Mercantile

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100-0514 Issued in SD

Legal business name

KIRK WILSON MARTIN DRUG & MERCANTILE

Practice address

304 Main St
Martin, SD 57551-0050

Phone

(605) 685-6200

Fax

(605) 685-6366

NPI assigned

Oct 26, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kirk Stephen Wilson, RPH

Title

Pharmacist

Phone

(605) 685-6200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1255416186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "address_2": "BOX A",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575510050",
            "telephone_number": "605-685-6200",
            "fax_number": "605-685-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575510050",
            "telephone_number": "605-685-6200",
            "fax_number": "605-685-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK WILSON MARTIN DRUG & MERCANTILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "605-685-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-0514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500280",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa E. Hammerquist, MSN, APRN, NP-C, CNP
• Lindsey Heath, FNP-BC
• Brady Hicks, PA-C, ATC
• Horizon Health Care Inc. (Martin Community Health Center)
• Horizon Health Care, Inc (Bennett County Dental Clinic)
• Lacreek Electric Assn
• Casi Jo McLeod, DMD
• Morning Star Family Ministries, Inc. (Martin Addiction Recovery Center)
• Pine Ridge Indian Health Service Hospital (LaCreek District Clinic)
• Pine Ridge Indian Health Service Hospital (Lacreek District Clinic Pharmacy)

• Community/Retail Pharmacy in Martin, SD
• Providers in Martin, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.