Mike Flint Enterprises Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

9504-42 Issued in WI

Legal business name

MIKE FLINT ENTERPRISES INC

Practice address

3250 Kingsley Way
Madison, WI 53713

Phone

(608) 310-9922

Fax

(608) 442-8490

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

John Flint, RPH

Title

Owner

Phone

(608) 310-9922

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1356362313",
    "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": "53713",
            "telephone_number": "608-310-9922",
            "fax_number": "608-442-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE FLINT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-06-12",
        "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",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9504-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33272600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Nathaniel Mihajlovich, DO
• Jessica Anne Mihalko
• Amy L Mihm, MS, RD, LAT
• Gary W Mijal, LCSW
• Mike Flint Enterprises Inc (Mallatt's Homecare Pharmacy)
• Mike Flint Enterprises Inc (Mallatt's Pharmacy and Costumes)
• Mike Flint Enterprises Inc (Mallatt Pharmacy and Costume 101)
• Mike Flint Enterprises Inc (Mallatt's Pharmacy and Costume #101)
• Nancy Mikel, MA CCCA
• Stephanie Mikesell

• Long Term Care Pharmacy in Madison, WI
• Providers in Madison, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.