NPIMap

Organization Active NPI

Mike Flint Enterprises Inc

  • Community/Retail Pharmacy
  • Madison, WI
National Provider Identifier
1578877296
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9024-42 Issued in WI
Legal business name
MIKE FLINT ENTERPRISES INC
Doing business as
Mallatt Pharmacy and Costume 101
Practice address
1255 Williamson St
Madison, WI 53703-3754
Phone
(608) 255-9116
Fax
(608) 255-9969
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Mr. John Michael Flint Jr., R.PH.
Title
Ceo
Phone
(608) 310-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9024-42 WI Primary

Addresses

Primary practice location

1255 Williamson St
Madison, WI 53703-3754

Mailing address

1255 Williamson St
Madison, WI 53703-3754
Phone (608) 255-9116

Other names 1

  • Mallatt Pharmacy and Costume 101 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mallatt Pharmacy and Costume 1012 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1578877296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033754",
            "telephone_number": "608-255-9116",
            "fax_number": "608-255-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033754",
            "telephone_number": "608-255-9116",
            "fax_number": "608-255-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE FLINT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-310-9922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9024-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mallatt Pharmacy and Costume 101",
            "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 Aug 5, 2010; 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.