NPIMap

Organization Active NPI

Mike Stuart Enterprises, Inc.

Doing business as Lakeland Pharmacy

  • Long Term Care Pharmacy
  • Willow Springs, MO
National Provider Identifier
1699557322
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MIKE STUART ENTERPRISES, INC.
Doing business as
Lakeland Pharmacy
Practice address
110 Bear Dr
Willow Springs, MO 65793-7102
Phone
(417) 593-9503
NPI assigned
Oct 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Michael L Stuart, RPHNPI 1578249645
Title
Ceo
Phone
(417) 272-8064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

110 Bear Dr
Willow Springs, MO 65793-7102

Mailing address

18565 Business 13
Branson West, MO 65737-9659
Phone (417) 593-9503

Other names 1

  • Lakeland Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1699557322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18565 BUSINESS 13",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379659",
            "telephone_number": "417-593-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEAR DR",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657937102",
            "telephone_number": "417-593-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE STUART ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-272-8064",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.