OrganizationActive
Macdonald Drug Store Inc
NPI 1437105293 · Community/Retail Pharmacy · South Haven, MI
Provider details
- NPI number
- 1437105293
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kelly Soekarmoen, Owner(269) 649-1476
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
512 Phoenix St
South Haven, MI 49090-1443
Phone: (269) 637-1161
Fax: (269) 639-2524
Street-level locationGet directions
Mailing address
110 S Main St
Vicksburg, MI 49097-1211
Other names (DBA / former)
- Doing business as
- Macdonald Drug Store Inc
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2016-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.