K MART CORP (NPI# 1033140140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033140140 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY7572 |
| Practice Address |
5885 Palmer Park Blvd Colorado Springs CO 80915-1611 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7195975044 |
| Practice Fax Number | 7195974531 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | ROBBERT AYSHFORD (DIRECTOR OF PHARMACY ADMINISTRATION) |
| Authorized Official Telephone | 8472868242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
240000018 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 03465689 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0609858 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7572 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841621695 | K Mart Corp | Pharmacy | 25 W Polk St, Coalinga, CA 93210-2366 | 2013-12-04 |
| 1437397411 | K Mart Corp | Pharmacy | Carr. Pr-156 Km 54.00, Las Catalinas Mall, Local 4858, Caguas, PR 00726 | 2009-01-28 |
| 1336256007 | K Mart Corp | Pharmacy | 3625 E 18th St, Antioch, CA 94509-8511 | 2006-08-25 |
| 1205943974 | K Mart Corp | Pharmacy | 1050 N Davis Rd, Salinas, CA 93907-1944 | 2006-08-25 |
| 1437177102 | K Mart Corp | Pharmacy | 5665 Rosemead Blvd, Temple City, CA 91780-1804 | 2006-07-18 |
| 1154352284 | K Mart Corp | Pharmacy | Rte 12 A, West Lebanon, NH 03784 | 2006-07-06 |
| 1093746117 | K Mart Corp | Pharmacy | 1501 Us 1, Vero Beach, FL 32960-5735 | 2006-07-06 |
| 1417988486 | K Mart Corp | Pharmacy | 1581 Us 68, Maysville, KY 41056-9178 | 2006-07-06 |
| 1902837040 | K Mart Corp | Pharmacy | Route 70 E, Marlton, NJ 08053 | 2006-07-06 |
| 1780615815 | K Mart Corp | Pharmacy | 129 Mall Rd, Covington, VA 24426-2413 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Iowa Business Entities | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Connecticut Business Registrations | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Oregon Corporations, Companies and Business Names | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Virginia Business Entities | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, Illinois 60179 |
| New York State Corporations | K MART CORPORATION | 28 Liberty St., New York, New York 10005 |
| Oklahoma Business Registrations | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Washington State Corporations | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, IL 60179-0001 |
| Massachusetts Corporations | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Street Address |
5885 PALMER PARK BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80915-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911418 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5050 Edison Ave, Suite 116, Colorado Springs, CO 80915 | 2014-12-17 |
| 1114202041 | Stateserv Medical of Colorado LLC | Durable Medical Equipment & Medical Supplies | 920 Ford St., Suite A, Colorado Springs, CO 80915 | 2011-10-11 |
| 1447550355 | Andrew Timothy Huwe | Pharmacist | 665 N Murray Blvd, Colorado Springs, CO 80915 | 2010-10-26 |
| 1891005013 | Community Services & Supports | Day Training, Developmentally Disabled Services | 4575 Galley Rd., Suite 400a, Colorado Springs, CO 80915 | 2010-10-21 |
| 1891022505 | South Powers Dental Prof LLC | Dentist | 1580 Space Center Drive, Suite 107, Colorado Springs, CO 80915 | 2009-11-17 |
| 1720212780 | Nicole Marie Malyj | Counselor | 1520 E. Owen Circle, Colorado Springs, CO 80915 | 2009-05-06 |
| 1134325848 | Catherine M Cortese | Audiologist | 1695 Leoti Drive, Colorado Springs, CO 80915 | 2007-06-21 |
| 1306965108 | Jeanie Bein | Psychologist | 4520 Brady Rd, Colorado Springs, CO 80915 | 2007-03-29 |
| 1982749909 | Clint L Kasza | Optometrist | Vision Center At Wal-mart, 1575 Space Center Drive, Colorado Springs, CO 80915 | 2007-02-20 |
| 1013063130 | Miriam Owens | Counselor | 1611 Sanderson Avenue, Colorado Springs, CO 80915 | 2007-01-25 |
| Find all providers in zip 80915 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805067 | Uch-mhs | Pharmacy | 4050 Briargate Pkwy Rm C1318, Colorado Springs, CO 80920-7815 | 2018-09-18 |
| 1790029494 | Walmart Inc. | Pharmacy | 1622 S Academy Blvd, Colorado Springs, CO 80916-4521 | 2012-11-19 |
| 1205099850 | Dillon Companies LLC | Pharmacy | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918 | 2008-07-03 |
| 1992982755 | Printers Parkway Pharmacy, LLC | Pharmacy | 155 Printers Pkwy Ste 120, Colorado Springs, CO 80910-6100 | 2008-01-23 |
| 1912182726 | Costco Wholesale Corporation | Pharmacy | 5885 Barnes Rd, Colorado Springs, CO 80922 | 2007-12-31 |
| 1669663027 | Dillon Companies LLC | Pharmacy | 9225 N Union Blvd, Colorado Springs, CO 80920 | 2007-08-09 |
| 1063512309 | City Employee Pharmacy | Pharmacy | 30 S Nevada, Colorado Springs, CO 80903 | 2006-09-25 |
| 1588777288 | Catholic Health Initiatives Colorado | Pharmacy | 3030 N Cascade Ave, Colorado Springs, CO 80907-5108 | 2006-08-16 |
| 1558376897 | Walgreen Co | Pharmacy | 2785 Dublin Blvd, Colorado Springs, CO 80918-1360 | 2006-07-29 |
| 1376572321 | Safeway Inc | Pharmacy | 7655 N Union Blvd, Colorado Springs, CO 80920-3863 | 2006-07-02 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80915 |
Please comment or provide details below to improve the information on K MART CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.