K MART CORP (NPI# 1043241102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043241102 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4724 |
| Practice Address |
1780 S Erie Hwy Hamilton OH 45011-4118 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5138687130 |
| Practice Fax Number | 5138688194 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-06-19 |
| Authorized Official Name | ROBBERT AYSHFORD (DIVISIONAL VICE PRESIDENT) |
| 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 |
02148550 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3633523 | 01 | |
| OH | 0494862 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4724 | 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 |
| Street Address |
1780 S ERIE HWY |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861715609 | Bibi Tasleeza Alladeen | Pharmacist | 1780 S Erie Hwy, Hamilton, OH 45011-4118 | 2010-03-08 |
| 1538482179 | Hien The Bui | Pharmacist | 1780 S Erie Hwy, Hamilton, OH 45011-4118 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| 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 |
|---|---|---|---|---|
| 1811548746 | Scpg Alabama LLC | Pharmacy | 1508 Military St S, Hamilton, AL 35570-5006 | 2019-09-23 |
| 1245765940 | Hamilton Pharmacy, LLC | Pharmacy | 1508 Military Street S, Hamilton, AL 35570 | 2017-05-01 |
| 1336429778 | Briarwood Pharmacy Inc | Pharmacy | 2450 Kuser Rd Ste G, Hamilton, NJ 08690-3359 | 2011-08-17 |
| 1205982675 | Hamilton Pharmacy and Medical Company Inc. | Pharmacy | 1060 Whitehorse Mercerville Rd, Alexanders Twin Pharmacy, Hamilton, NJ 08610-1425 | 2007-01-26 |
| 1912067612 | Northwest Health Services, Inc. | Pharmacy | 103 E. Cross Street, Hamilton, MO 64644-0156 | 2006-12-11 |
| 1225100746 | Clark's Discount Pharmacy | Pharmacy | 1261 Military Street South, Hamilton, AL 35570 | 2006-11-14 |
| 1396827705 | Wuis Value Drugs, Inc | Pharmacy | 3416 M-40, Hamilton, MI 49419-9512 | 2006-10-19 |
| 1043302649 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2147 Hamilton Ave, Hamilton, NJ 08619-3610 | 2006-09-29 |
| 1013010834 | New Jersey Cvs Pharmacy, L.L.C. | Pharmacy | 200 Highway 33, Hamilton, NJ 08619-2542 | 2006-09-07 |
| 1427151125 | Ohio Cvs Stores LLC | Pharmacy | 28 N Brookwood Ave, Hamilton, OH 45013-1210 | 2006-09-07 |
| Find all providers in HAMILTON | ||||
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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.