{"npi":"1982611331","type":"NPI-2","status":"active","name":{"display":"M K Stores INC","other":[],"organization_name":"M K STORES INC","authorised_official":"Michael Russell"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":"MI","license":"5301006524"},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"MI","license":"5301006524"}]},"addresses":[{"purpose":"LOCATION","street_1":"110 S MAIN ST","city":"ISHPEMING","state":"MI","postal_code":"498491820","country_code":"US","phone":"9064864405","fax":"9064864406"},{"purpose":"MAILING","street_1":"110 S MAIN ST","city":"ISHPEMING","state":"MI","postal_code":"498491820","country_code":"US","phone":"9064864405","fax":"9064864406"}],"license":{"state":"MI","number":"5301006524"},"identifiers":[{"type_code":"01","label":"Other","value":"2356598","state":"MI","issuer":"NABP NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-01","last_updated":"2024-04-10","_meta":{"source":"NPPES","snapshot_date":"2024-04-10","doc_url":"https://findmynpi.com/api"}}