NPIMap

Organization Active NPI

Mike Stuart Enterprises, Inc.

  • Long Term Care Pharmacy
  • Branson, MO
National Provider Identifier
1386426005
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MIKE STUART ENTERPRISES, INC.
Doing business as
Lakeland Pharmacy
Practice address
1232 Branson Hills Pkwy Ste 205
Branson, MO 65616-4188
Phone
(417) 336-4701
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Michael L Stuart, RPH
Title
Ceo
Phone
(417) 272-8064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1232 Branson Hills Pkwy Ste 205
Branson, MO 65616-4188

Mailing address

18565 Business 13
Branson West, MO 65737-9659
Phone (417) 593-9503

Other names 1

  • Lakeland Pharmacy Doing business as

National Provider Directory

National Provider Directory
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.

Locations

1232 Branson Hills Pkwy
Ste 205
Branson, MO 65616
Phone (417) 336-4701

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1386426005",
    "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": "417-593-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 BRANSON HILLS PKWY STE 205",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164188",
            "telephone_number": "417-336-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE STUART ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-272-8064",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.