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Macdonald Drug Store Inc

Community/Retail Pharmacy in South Haven, MI · enumerated 2006 · authorized official Kelly Soekarmoen, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437105293

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Macdonald Drug Store Inc
Other name <Unavail>
Practice address 512 Phoenix St, South Haven, MI, 49090
Fax (269) 639-2524
Enumeration date May 25, 2006
Last updated in NPPES May 20, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 5301002169 (MI) Primary

Authorized official

Name Kelly Soekarmoen
Title Owner

Other identifiers

Identifier Type State Issuer
871982298 Medicaid MI -
2041741 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-05-20. Verify at npiregistry.cms.hhs.gov.
Where is Macdonald Drug Store Inc located?
The practice location on file with NPPES is in South Haven, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-20.