NPIMap

Organization Active NPI

Murks Village Market Inc

Doing business as Gobles Village Market Pharmacy

  • Community/Retail Pharmacy
  • Gobles, MI
National Provider Identifier
1548694102
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010157 Issued in MI
Legal business name
MURKS VILLAGE MARKET INC
Doing business as
Gobles Village Market Pharmacy
Practice address
407 S State St # M-40
Gobles, MI 49055-9724
Phone
(269) 628-0035
Fax
(269) 628-0037
NPI assigned
Aug 30, 2013
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
David Longtin
Title
Operations Manager
Phone
(269) 637-8655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010157 MI Primary

Addresses

Primary practice location

407 S State St # M-40
Gobles, MI 49055-9724

Mailing address

407 S State St # M-40
Gobles, MI 49055-9724
Phone (269) 628-0035

Other names 1

  • Gobles Village Market Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Murks Village Market Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1548694102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S STATE ST # M-40",
            "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 # M-40",
            "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": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "LONGTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "269-637-8655"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gobles Village Market Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gobles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.