K MART CORP (NPI# 1063443109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063443109 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4897 |
| Practice Address |
1287 Winchester Ave Martinsburg WV 25405-5018 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 3042649008 |
| Practice Fax Number | 3042678296 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-04 |
| 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 |
MP0551172 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0227773013 | 05 | |
| PK | 2110777 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4897 | 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 |
1287 WINCHESTER AVE |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25405-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942619770 | Erin Nail | Pharmacist | 1287 Winchester Ave, Martinsburg, WV 25401 | 2014-08-06 |
| 1124537311 | Sheldon Frazer Wolfson | Pharmacist | 1287 Winchester Ave, Martinsburg, WV 25405-5018 | 2017-09-20 |
| 1538686027 | Andre J Watson | Pharmacist | 1287 Winchester Ave, Martinsburg, WV 25405-5018 | 2017-08-24 |
| 1760842983 | Christopher James Burris | Pharmacist | 1287 Winchester Ave, Martinsburg, WV 25405-5018 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982004834 | Stacy Becker | Pharmacist | 1297 Winchester Ave, Martinsburg, WV 25405 | 2014-08-28 |
| 1336577709 | Zellene Struble | Midwife | 405 Sweetbriar Rd, Martinsburg, WV 25405 | 2013-10-23 |
| 1710329131 | Aisha Masood | Pharmacist | 510 Butler Avenue (pharmacy Services 119), Martingsburg, WV 25405 | 2013-07-26 |
| 1649568924 | Rocky Mountain Holdings, LLC | Ambulance | 214 Aviation Way, Martinsburg, WV 25405 | 2011-07-20 |
| 1962594846 | Barbara Ellen Hartman | Dietitian, Registered | 510 Butler Avenue, Martinsburg, WV 25405 | 2006-09-29 |
| 1043313042 | William Peter Perks | Social Worker | 540 Teal Rd N, Martinsburg, WV 25405 | 2006-09-06 |
| 1497399729 | Michelle Stickel | Speech-Language Pathologist | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25405 | 2019-10-30 |
| 1225688054 | Lynne Blackshear | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Avenue, Martinsburg, WV 25405 | 2019-09-13 |
| 1285284018 | Christina Byrnes | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-09-13 |
| 1730737339 | Susan J Dilly | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-08-28 |
| Find all providers in zip 25405 | ||||
| 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 |
|---|---|---|---|---|
| 1316596794 | Martinsburg Pharmacy LLC | Pharmacy | 900 Winchester Ave, Martinsburg, WV 25401-1762 | 2019-09-09 |
| 1104325588 | Donald Della | Pharmacy | 119 W Allegheny St, Martinsburg, PA 16662-1103 | 2018-02-12 |
| 1043533003 | City Pharmacy | Pharmacy | 970 Foxcroft Ave, Suite 101, Martinsburg, WV 25401-1835 | 2010-03-04 |
| 1689290702 | Jennifer Wood | Pharmacy | 134 S Queen St, Martinsburg, WV 25401-3316 | 2020-06-24 |
| 1417573569 | Elaine Loizos-hobday | Pharmacy | 134 S Queen St, Martinsburg, WV 25401-3316 | 2020-06-24 |
| 1265087753 | Mzm Pharmacy LLC | Pharmacy | 33 Meadow Ln Unit 7, Martinsburg, WV 25404-3807 | 2019-08-02 |
| 1174982946 | Apple Valley Pharmacy Inc. | Pharmacy | 970 Foxcroft Ave, Suite 101, Martinsburg, WV 25401-1850 | 2016-02-22 |
| 1821483033 | City Hospital, Inc. | Pharmacy | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25405 |
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.