Mike Stuart Enterprises, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MIKE STUART ENTERPRISES, INC.

Doing business as

Lakeland Pharmacy #4

Practice address

16269 US Highway 160
Forsyth, MO 65653-7122

Phone

(417) 546-5151

Fax

(417) 546-4591

NPI assigned

Apr 24, 2024

Last updated

Apr 24, 2024By 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

Karen A Knebel

Title

Director of Finance

Phone

(417) 272-0471

Specialties & licenses 2

Addresses

Other names 1

• LAKELAND PHARMACY #4 Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mike Stuart Enterprises Inc

  dba Lakeland Pharmacy

  • Community/Retail Pharmacy
  • Crane, MO
  • NPI 1194746552

  O20091002000512

  Same enrollment
• Mike Stuart Enterprises Inc

  dba Lakeland Pharmacy

  • Community/Retail Pharmacy
  • Branson, MO
  • NPI 1316051386

  O20091002000512

  Same enrollment
• Mike Stuart Enterprises Inc

  dba Lakeland Pharmacy

  • Community/Retail Pharmacy
  • Branson West, MO
  • NPI 1841351731

  O20091002000512

  Same enrollment
• Mike Stuart Enterprises, Inc.

  dba Lakeland Pharmacy #7

  • Community/Retail Pharmacy
  • Willow Springs, MO
  • NPI 1144560319

  O20091002000512

  Same enrollment

Tax ID family

Lakeland Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Mike Stuart Enterprises, Inc.

  dba Lakeland Pharmacy

  • Long Term Care Pharmacy
  • Branson West, MO
  • NPI 1023890746
  NPD tax ID
• Mike Stuart Enterprises, Inc.

  dba Lakeland Pharmacy

  • Long Term Care Pharmacy
  • Crane, MO
  • NPI 1063294791
  NPD tax ID
• Mike Stuart Enterprises, Inc.

  dba Lakeland Pharmacy

  • Long Term Care Pharmacy
  • Branson, MO
  • NPI 1386426005
  NPD tax ID
• Mike Stuart Enterprises, Inc.

  dba Lakeland Pharmacy

  • Long Term Care Pharmacy
  • Willow Springs, MO
  • NPI 1699557322
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sasha T Kramer, PHARMD

  • Pharmacist
  • Forsyth, MO
  • NPI 1619726189
  NPD

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1336995109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18565 BUSINESS 13",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379659",
            "telephone_number": "417-272-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16269 US HIGHWAY 160",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "656537122",
            "telephone_number": "417-546-5151",
            "fax_number": "417-546-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE STUART ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "KNEBEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "417-272-0471"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKELAND PHARMACY #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert H Mace, MA, LPC
• Merry Elizabeth McBride
• Linda J McKinney, FNP
• Mercy Clinic-Springfield Communities (Mercy Clinic Family Medicine-Forsyth)
• Allison Merrell, M.S., CCC-SLP
• Darla J. Monholland
• Reed Click, MD, LLC
• Regional Services (Coxhealth School Based Telemedicine)
• Robbins Psychology Inc
• David P Robbins, MA/LPC

• Community/Retail Pharmacy in Forsyth, MO
• Providers in Forsyth, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.