KMART OPERATIONS LLC (NPI# 1043241011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043241011 |
| Entity Type | Organization |
| Organization Name | KMART OPERATIONS LLC |
| Other Organization Name | KMART PHARMACY3320 |
| Practice Address |
133 Monarch Dr Houma LA 70364-2809 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 9858681865 |
| Practice Fax Number | 9858512187 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-07-07 |
| Authorized Official Name | JENNIFER SPEARES (DIR. OF COMPLIANCE AND ADMIN.) |
| Authorized Official Telephone | 8472865116 |
| 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 |
PHY.007317-RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2031094 | 01 | |
| LA | 1253961 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3320 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271475 | Kmart Operations LLC | Pharmacy | 4700 2nd Ave, Kearney, NE 68847-2418 | 2006-07-06 |
| 1174554281 | Kmart Operations LLC | Pharmacy | 2821 E Main St, Russellville, AR 72802-9662 | 2006-07-06 |
| 1982635009 | Kmart Operations LLC | Pharmacy | 2308 Highway 45 N, Columbus, MS 39705-1745 | 2006-07-06 |
| 1982635033 | Kmart Operations LLC | Pharmacy | 1425 E Highway 151, Platteville, WI 53818 | 2006-07-06 |
| 1245261395 | Kmart Operations LLC | Pharmacy | 2150 S Douglas Hwy, Gillette, WY 82718-5416 | 2006-07-06 |
| 1174554208 | Kmart Operations LLC | Durable Medical Equipment & Medical Supplies | 3180 Highway 2 West, Havre, MT 59501 | 2006-07-06 |
| 1427089416 | Kmart Operations LLC | Pharmacy | 1560 Us Highway 31 S, Manistee, MI 49660-2223 | 2006-07-06 |
| 1417988536 | Kmart Operations LLC | Pharmacy | 11 S Kingshighway St # 61, Cape Girardeau, MO 63703-5742 | 2006-07-06 |
| 1366473472 | Kmart Operations LLC | Pharmacy | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2006-07-06 |
| 1164453122 | Kmart Operations LLC | Pharmacy | 3101 Northview Dr, Elkhart, IN 46514-6748 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KMART OPERATIONS LLC | 3333 Beverly Rd B2126b, Hoffman Estates, IL 60179 |
| Oregon Corporations, Companies and Business Names | KMART OPERATIONS LLC | 3333 Beverly Rd B2-101b, Hoffman Estates, IL 60179 |
| Washington State Corporations | KMART OPERATIONS LLC | 3333 Beverly Rd, Hoffman Est, IL 60179-0001 |
| New York State Corporations | KMART OPERATIONS LLC | 28 Liberty St., New York, Ny 10005 |
| Colorado Business Entities | Kmart Operations LLC | 3333 Beverly Road, B2-116b, Hoffman Estates, IL 60179 |
| Massachusetts Corporations | KMART OPERATIONS LLC | 3333 Beverly Rd. B2-126b, Hoffman Estates, IL 60179 |
| Indiana Business Entities | KMART OPERATIONS LLC | 3333 Beverly Rd, B2-126b, Hoffman Estates, IL 60179 |
| Ohio Business Entities | KMART OPERATIONS LLC | 3333 Beverly Road, Corporate Secretary, Hoffman Estates, IL 60179 |
| Street Address |
133 MONARCH DR |
| City | HOUMA |
| State | LA |
| Zip Code | 70364-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481922 | Van Thuy Novick | Pharmacist | 133 Monarch Dr, Houma, LA 70364-2809 | 2014-10-01 |
| 1083072813 | Kristen Constantino | Pharmacist | 133 Monarch Dr, Houma, LA 70364-2809 | 2016-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922669183 | Pelican State Home and Community Services | Home Health Aide | 154 B South Hollywood Road, Houma, LA 70364 | 2019-06-27 |
| 1356708820 | Mmg Healthcare Services,llc | Home Health | 505 Holiday Dr, Houma, LA 70364 | 2016-01-28 |
| 1477894384 | Jacqueline B Spencer | Counselor | 249 T. Leigh Drive, Houma, LA 70364 | 2013-03-04 |
| 1497015622 | Compass Behavioral Center of Houma, LLC | Psychiatric Hospital | 4701 W Park Ave, Houma, LA 70364 | 2012-05-22 |
| 1629233994 | Elizabeth Billiot Cooper | Counselor | 409 Garnet St, Houma, LA 70364 | 2008-07-25 |
| 1306968524 | Septime Joseph Hymel Jr. | Optometrist | 5953 West Park Ave, Suite 2000, Houma, LA 70364 | 2007-04-06 |
| 1144348723 | The Therapy Group, LLC | Clinic/Center | 7843 Park Ave, Houma, LA 70364 | 2007-03-26 |
| 1437296142 | Keith M Lane | Dentist | 7024 Park Ave, Houma, LA 70364 | 2007-01-31 |
| 1376697706 | Janice Brownlee Naquin | Dentist | 114 Westside Blvd, Houma, LA 70364 | 2007-01-23 |
| 1093816167 | Jason Wonch Od and Associates Apc | Eyewear Supplier (Equipment, not the service) | 5953 West Park Avenue, Houma, LA 70364 | 2006-09-25 |
| Find all providers in zip 70364 | ||||
| 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 |
|---|---|---|---|---|
| 1477197531 | Green Leaf Dispensary LLC | Pharmacy | 6048 W Park Ave, Houma, LA 70364-1808 | 2019-11-01 |
| 1548730633 | Magnolia Drugs | Pharmacy | 1004 Barrow St, Houma, LA 70360-5606 | 2018-11-30 |
| 1487837464 | Haydels Drug Store Inc | Pharmacy | 4752 Highway 311, Ste 100, Houma, LA 70360-2810 | 2007-12-12 |
| 1215068804 | Walgreen Co | Pharmacy | 5831 W Park Ave, Houma, LA 70364-1424 | 2007-03-08 |
| 1801990742 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 7015 Park Ave, Houma, LA 70364-2850 | 2006-09-12 |
| 1609970516 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 437 Grand Caillou Rd, Houma, LA 70363-5165 | 2006-09-12 |
| 1396750568 | Walgreen Co | Pharmacy | 1435 W Tunnel Blvd, Houma, LA 70360-2738 | 2006-07-29 |
| 1396750550 | Walgreen Co | Pharmacy | 1511 E Tunnel Blvd, Houma, LA 70363-5849 | 2006-07-29 |
| 1427071703 | Louisiana Cvs Pharmacy LLC | Pharmacy | 1727 Martin Luther King Jr Blvd, Houma, LA 70360-2409 | 2006-07-26 |
| 1306471743 | Pharmacy Express LLC | Pharmacy | 1963 Prospect Blvd, Houma, LA 70363-6047 | 2020-03-05 |
| Find all providers in HOUMA | ||||
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| 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.