Organization Active NPI

Mike Flint Enterprises Inc

  • Long Term Care Pharmacy
  • Menomonee Falls, WI
National Provider Identifier
1447345640
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9503-42 Issued in WI
Legal business name
MIKE FLINT ENTERPRISES INC
Practice address
N85W15882 Appleton Ave
Menomonee Falls, WI 53051
Phone
(262) 437-0031
Fax
(262) 255-2058
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
John Flint
Title
Owner
Phone
(608) 310-9922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 9503-42 WI Primary

Addresses

Primary practice location

N85W15882 Appleton Ave
Menomonee Falls, WI 53051

Mailing address

N85W15882 Appleton Ave
Menomonee Falls, WI 53051-3082
Phone (262) 437-0031

Other identifiers 1

IdentifierTypeStateIssuer
2151951OtherPK

National Provider Directory

National Provider Directory

Locations

3250 Kingsley Way
Madison, WI 53713
Phone (608) 310-9922

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1447345640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N85W15882 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513082",
            "telephone_number": "262-437-0031",
            "fax_number": "262-255-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N85W15882 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "53051",
            "telephone_number": "262-437-0031",
            "fax_number": "262-255-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE FLINT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-06-07",
        "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"
    },
    "taxonomies": [
        {
            "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": "9503-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.