NPIMap

Organization Active NPI

Mike Flint Enterprises Inc

  • Community/Retail Pharmacy
  • Madison, WI
National Provider Identifier
1538180591
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7237-42 Issued in WI
Legal business name
MIKE FLINT ENTERPRISES INC
Doing business as
MALLATT'S PHARMACY AND COSTUMES
Practice address
3506 Monroe St
Madison, WI 53711-1703
Phone
(608) 238-3106
Fax
(608) 663-8074
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
John Michael Flint Jr., PHARMACY
Title
President
Phone
(608) 310-9922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 7237-42 WI Primary

Addresses

Primary practice location

3506 Monroe St
Madison, WI 53711-1703

Mailing address

3506 Monroe St
Madison, WI 53711-1703
Phone (608) 238-3106

Other identifiers 2

IdentifierTypeStateIssuer
33197000MedicaidWI
2112792OtherPK

Other names 1

  • MALLATT'S PHARMACY AND COSTUMES Doing business as

National Provider Directory

National Provider Directory

Locations

3506 Monroe St
Madison, WI 53711
Phone (608) 238-3106

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1538180591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 MONROE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111703",
            "telephone_number": "608-238-3106",
            "fax_number": "608-663-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 MONROE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111703",
            "telephone_number": "608-238-3106",
            "fax_number": "608-663-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE FLINT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-310-9922",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7237-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33197000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MALLATT'S PHARMACY AND COSTUMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.