M & K Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5202279 Issued in WY

Legal business name

M & K INC

Doing business as

Plaza Pharmacy

Practice address

1411 Dewar Dr
Rock Springs, WY 82901

Phone

(307) 362-1007

Fax

(307) 352-2951

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kale W Smith, RPH

Title

Owner Pharmacist

Phone

(307) 362-1007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plaza Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1528121183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 DEWAR DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "82901",
            "telephone_number": "307-362-1007",
            "fax_number": "307-352-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 DEWAR DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "82901",
            "telephone_number": "307-362-1007",
            "fax_number": "307-352-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & K INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KALE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "307-362-1007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "5202279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104423100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Lynn Lords
• LSW, LLC (Life Skills in Wyo.)
• LSW,LLC (Life Skills In Wyoming)
• Terry Lure
• Kael Lyman
• David Ma, R.PH.
• Karen Macdonald, MSPT
• Brandon Vashon Mack, MD
• Alisha Mackie, RNFA, CNOR
• James S Mackin, MD

• Community/Retail Pharmacy in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Community/Retail Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.