MIKES MERCANTILE CO (NPI# 1982022000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982022000 |
| Entity Type | Organization |
| Organization Name | MIKES MERCANTILE CO |
| Other Organization Name | MIKES PHARMACY |
| Practice Address |
722 W Highway 20 Toledo OR 97391-1128 |
| Practice Telephone | 5413362261 |
| Mailing Telephone | 5413362261 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | MIKE ALLEN KNIGHT (PRESIDENT) |
| Authorized Official Telephone | 5413362261 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | RP-0002912-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON STATE BOARD OF PHARMACY | RP-0002912-CS | 01 |
| OR | US DEPARTMENT OF JUSTICE DEA | FM4439065 | 01 |
| Other Name | Type Code |
|---|---|
| Mikes Pharmacy | Doing Business As Name - Organization |
| Street Address |
722 W HIGHWAY 20 |
| City | TOLEDO |
| State | OR |
| Zip Code | 97391-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
| 1891936613 | Shahna Lynn Ashard | Counselor | 980 Se Reservoir Lane, Toledo, OR 97391 | 2009-03-09 |
| 1568543692 | Samaritan Pacific Health Services, Inc. | Clinic/Center | 199 West Highway 20, Toledo, OR 97391 | 2006-10-17 |
| 1043328768 | Gregory E Herkert | Dentist | 680 W Hwy 20, Toledo, OR 97391 | 2006-08-25 |
| 1134163496 | Dennis L. Kauffman | Family Medicine | 1744 Nw Business Hwy 20, Toledo, OR 97391 | 2006-06-16 |
| 1699854539 | Bruce C. Parsons | Optometrist | 680 W Highway 20, Toledo, OR 97391-0190 | 2006-11-02 |
| 1174906150 | Ryan Allan Millet | Dentist | 680 W Highway 20, Toledo, OR 97391-1125 | 2015-07-08 |
| 1902809502 | Uri Z Goldberg | Family Medicine | 199 W Highway 20, Toledo, OR 97391-1242 | 2005-05-27 |
| 1164863536 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 199 W Highway 20, Room 1, Toledo, OR 97391-1242 | 2013-07-12 |
| 1881966893 | Jason E Brown | Physician Assistant | 199 W Highway 20, Toledo, OR 97391-1242 | 2012-02-07 |
| Find all providers in zip 97391 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477036499 | Healthy Rx Pllc | Pharmacy | 3188 S Byrne Rd, Toledo, OH 43614-5326 | 2018-09-14 |
| 1417450305 | Lifecare Pharmacy Corp | Pharmacy | 820 Woodville Rd, Toledo, OH 43605-3073 | 2018-03-16 |
| 1942742812 | Medical University of Ohio At Toledo | Pharmacy | 3333 Glendale Ave # Ms 1208, Toledo, OH 43614-2426 | 2016-11-09 |
| 1932565108 | Toledo Ltc LLC | Pharmacy | 1601 W Sylvania Ave Ste F, Toledo, OH 43612-1532 | 2016-01-04 |
| 1730214263 | Neighborhood Health Association | Pharmacy | 1415 Jefferson, Toledo, OH 43604 | 2007-02-23 |
| 1477605723 | Kahler Enterprises Inc | Pharmacy | 1941 Airport Hwy, Toledo, OH 43609-1803 | 2007-01-17 |
| 1578623351 | B and C Apothecary Inc | Pharmacy | 766 Oak St, Toledo, OH 43605-2604 | 2006-12-11 |
| 1689745606 | Arings Compound Corner Inc | Pharmacy | 6725 W Central Ave, Ste N, Toledo, OH 43617-1148 | 2006-11-13 |
| 1891878583 | Monroe Pharmacy Inc | Pharmacy | 4122 Monroe St, Toledo, OH 43606 | 2006-10-24 |
| 1285723973 | Erie Enterprises Inc | Pharmacy | 4502 Lewis Ave, Toledo, OH 43612-2335 | 2006-10-12 |
| Find all providers in TOLEDO | ||||
Please comment or provide details below to improve the information on MIKES MERCANTILE CO.
| 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.