Active NPI
MK Stores Inc
Doing business as The Corner Drugstore
- Community/Retail Pharmacy
- Iron River, MI
National Provider Identifier
1497704456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010216
- Legal business name
- MK STORES INC
- Doing business as
- The Corner Drugstore
- Practice address
- 128 W Genesee St
Iron River, MI 49935-1437 - Phone
- (906) 265-2312
- Fax
- (906) 265-5608
- NPI assigned
- May 8, 2006
- Last updated
- Apr 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C Russell
- Title
- Head of Pharmacy
- Phone
- (906) 485-5592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301010216 | MI | Primary |
Addresses
Primary practice location
128 W Genesee St
Iron River, MI 49935-1437
Mailing address
1330 US 41 W
Ishpeming, MI 49849-3152
Phone (906) 485-5592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2142998 | Other | PK |
Other names 1
- The Corner Drugstore
National Provider Directory
National Provider Directory- Tax ID family
- MK Stores Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Newberry Hometown Pharmacy
- Community/Retail Pharmacy
- Newberry, MI
- NPI 1447514385
Locations
128 W Genesee St
Iron River, MI 49935
Phone (906) 265-2312
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Iron River, MI
- NPI 1043260375
-
- Pharmacist
- Iron River, MI
- NPI 1588253793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1497704456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 US 41 W",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498493152",
"telephone_number": "906-485-5592",
"fax_number": "906-485-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W GENESEE ST",
"city": "IRON RIVER",
"state": "MI",
"postal_code": "499351437",
"telephone_number": "906-265-2312",
"fax_number": "906-265-5608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MK STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "HEAD OF PHARMACY",
"authorized_official_telephone_number": "906-485-5592"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301010216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2142998",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Corner Drugstore",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Iron River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.