Murks Village Market Inc
Organization Active NPI Community/Retail Pharmacy · Gobles, MI
NPI 1386985356 · NPPES record last updated Dec 6, 2013
Key facts
- NPI
- 1386985356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- MURKS VILLAGE MARKET INC
- Practice address
- 407 S State St
Gobles, MI 49055-9724 - Phone
- (269) 628-0035
- Fax
- (269) 628-0037
- NPI assigned
- Mar 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Dave Longtin
- Title
- General Manager
- Phone
- (269) 637-8655
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Three Rivers Village Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
407 S State St
Gobles, MI 49055-9724
Mailing address
407 S State St
Gobles, MI 49055-9724
Phone (269) 628-0035
Other names
- Gobles Village Market Pharmacy
NPI Registry JSON
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386288000000",
"number": "1386985356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S STATE ST",
"city": "GOBLES",
"state": "MI",
"postal_code": "490559724",
"telephone_number": "269-628-0035",
"fax_number": "269-628-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S STATE ST",
"city": "GOBLES",
"state": "MI",
"postal_code": "490559724",
"telephone_number": "269-628-0035",
"fax_number": "269-628-0037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURKS VILLAGE MARKET INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-15",
"last_updated": "2013-12-06",
"status": "A",
"authorized_official_last_name": "LONGTIN",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "269-637-8655",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gobles Village Market Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gobles, MI
- Linda Jo Huston
- Chelsea Jean Johnson
- Kristin J Lockrem
- Linda Lou Millek
- Metuschelah Munyabera
- Murks Village Market Inc
- New Found Hope, LLC
- Joseph John-Moynihan Olsiewicz
- Otsego Family Medical Practice, PLLC
- Monica Lee Phillips
All providers in Gobles, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.