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KIRK WILSON MARTIN DRUG & MERCANTILE NPI 1255416186


NPI Information

NPI: 1255416186
Provider Name: KIRK WILSON MARTIN DRUG & MERCANTILE
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
304 MAIN ST
MARTIN, SD
ZIP 57551
Phone: (605) 685-6200
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KIRK WILSON MARTIN DRUG & MERCANTILE is a community/retail pharmacy pharmacy in Martin, SD. The provider is 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. KIRK WILSON MARTIN DRUG & MERCANTILE NPI is 1255416186. The provider is registered as an organization entity type.

The provider's business location address is:

304 MAIN ST
MARTIN, SD
ZIP 57551-050
Phone: (605) 685-6200
Fax: (605) 685-6366

The provider's authorized official is Kirk Stephen Wilson .
The authorized official title is Pharmacist and has the following contact phone number (605) 685-6200.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy100-0514SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15358710001MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTA
28500280MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.