KIRK WILSON MARTIN DRUG & MERCANTILE (NPI# 1255416186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255416186 |
| Entity Type | Organization |
| Organization Name | KIRK WILSON MARTIN DRUG & MERCANTILE |
| Practice Address |
304 Main St Martin SD 57551-0050 |
| Mailing Address |
304 Main St Box A Martin SD 57551-0050 |
| Practice Telephone | 6056856200 |
| Practice Fax Number | 6056856366 |
| Mailing Telephone | 6056856200 |
| Mailing Fax Number | 6056856366 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. KIRK STEPHEN WILSON (PHARMACIST) |
| Authorized Official Telephone | 6056856200 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
100-0514 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 8500280 | 05 |
| Street Address |
304 MAIN ST |
| City | MARTIN |
| State | SD |
| Zip Code | 57551-0050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113736 | Tami Lynn Toczek | Dietitian, Registered | 22013 Old Highway 18, Martin, SD 57551 | 2018-11-15 |
| 1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1851696843 | Cathy Sue Childress | Physician Assistant | 302 South 1st Avenue, Martin, SD 57551 | 2011-01-21 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1417313016 | Amanda Lynn Ruhs | Nurse Practitioner | 109 Pugh Street, Martin, SD 57551 | 2016-01-12 |
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1003105941 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2011-03-31 |
| 1386891349 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen St, Martin, SD 57551-0070 | 2008-08-21 |
| 1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
| Find all providers in zip 57551 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427571777 | Walgreen Co | Pharmacy | 10 Charby Hollow Rd, Martin, KY 41649-7901 | 2017-07-19 |
| 1154479160 | Downtown Drug Inc | Pharmacy | 90 Triangle Street, Martin, KY 41649-1369 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868514 | Dakota Pharms, LLC | Pharmacy | 120 Commercial Ave Se, Highmore, SD 57345-2145 | 2019-12-17 |
| 1831675438 | Lewis Drugs, Inc. | Pharmacy | 2525 S Ellis Rd, Sioux Falls, SD 57106-7066 | 2018-07-17 |
| 1104302702 | Lewis Drugs, Inc. | Pharmacy | 136 S Phillips Ave, Sioux Falls, SD 57104-6706 | 2018-07-17 |
| 1316463219 | Avera Mckennan | Pharmacy | 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 | 2017-08-22 |
| 1487109690 | Monument Health Home Plus, LLC | Pharmacy | 2006 Mount Rushmore Rd Ste 2, Rapid City, SD 57701-4622 | 2016-08-17 |
| 1316342306 | Dpx Enterprises, Inc. | Pharmacy | 5028 S Cliff Ave, Sioux Falls, SD 57108-5432 | 2014-11-03 |
| 1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1609178565 | Hy Vee Inc | Pharmacy | 2700 W 10th St, Sioux Falls, SD 57104-2547 | 2010-11-29 |
| 1447450994 | Your Daily Dose, Inc. | Pharmacy | 220 South Cliff Ave., Harrisburg, SD 57032 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIRK WILSON MARTIN DRUG & MERCANTILE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.