MACDONALD DRUG STORE INC
NPI 1437105293
Pharmacy - Community/Retail Pharmacy in South Haven, MI

Active since May 25, 2006
512 PHOENIX ST, SOUTH HAVEN, MI 49090(269) 637-1161(269) 639-2524 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Macdonald Drug Store Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACDONALD DRUG STORE INC (NPI 1437105293) is a healthcare organization registered as a community/retail pharmacy in South Haven, Michigan and active in the NPI registry since May 2006. The organization lists Kelly Soekarmoen, Owner, as its authorized official.

NPPES Registry Identity

NPI1437105293
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMACDONALD DRUG STORE INC
Location Address512 PHOENIX STSouth Haven, MI 49090-1443
Mailing Address110 S Main StVicksburg, MI 49097-1211 · (269) 649-1476
Fax(269) 639-2524
Organization SubpartNo
Authorized OfficialKelly SoekarmoenOwner · (269) 649-1476
Enumeration DateMay 25, 2006
Last NPPES UpdateMay 20, 2016
NPI 1437105293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MI · 5301002169
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
512 PHOENIX ST, South Haven, MI 49090

Other Names 1

Doing Business AsMacdonald Drug Store Inc

Other Identifiers 3

Medicare NSC0248390001
Other2041741Pk
Medicaid871982298MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
512 PHOENIX ST
SOUTH HAVEN, MI 49090
Pharmacy Technician
512 PHOENIX ST
SOUTH HAVEN, MI 49090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macdonald Drug Store Inc's NPI number?

The NPI number for Macdonald Drug Store Inc is 1437105293. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Macdonald Drug Store Inc located?

Macdonald Drug Store Inc is located at 512 Phoenix St, South Haven, MI 49090. The listed phone number is (269) 637-1161.

What is Macdonald Drug Store Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Macdonald Drug Store Inc was last updated on May 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.