K MART CORP (NPI# 1063443190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063443190 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3630 |
| Practice Address |
375 Amherst St Ste 1 Nashua NH 03063-1216 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 6035790615 |
| Practice Fax Number | 6035778806 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-05-23 |
| Authorized Official Name | MICHAEL HAMILTON (DIRECTOR MANAGED CARE SERVICES) |
| Authorized Official Telephone | 8472867735 |
| 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 |
0542P | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30011508 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3006043 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3630 | 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 |
375 AMHERST ST STE 1 |
| City | NASHUA |
| State | NH |
| Zip Code | 03063-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194038620 | Angela Landry | Pharmacist | 375 Amherst St Ste 1, Nashua, NH 03063-1216 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770073298 | Eye Practice of Nashua Pllc | Optometrist | 451 Amherst St Ste 102, Nashua, NH 03063 | 2018-05-10 |
| 1801254552 | Lindsay Arel | Occupational Therapist | 547 Amherst St Ste 204, Nashua, NH 03063 | 2016-02-09 |
| 1447519103 | Dental Health Solutions of Nashua | Dentist | Zero Profile Circle, Nashua, NH 03063 | 2012-05-15 |
| 1801196332 | Greater Nashua Council On Alcoholism, Inc. | Counselor | 615 Amherst Street, Nashua, NH 03063 | 2010-11-01 |
| 1275846123 | Nancy M Chow | Pharmacist | 145 Amhurst St, Nashua, NH 03063 | 2010-07-21 |
| 1629258025 | Sara-britt Guinta | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2007-11-14 |
| 1104954403 | Kelly A Fitzgibbons | Dentist | 2 Cellu Drive, Nashua, NH 03063 | 2007-03-01 |
| 1609922731 | Kara Myers | Occupational Therapist | 547 Amherst St., Suite 204, Nashua, NH 03063 | 2007-01-25 |
| 1720147176 | Todd Ratcliffe | Physical Therapist | 522 Amherst St Ste 22, Nashua, NH 03063 | 2006-12-08 |
| 1043385073 | Deepak V Shinde | Dentist | 2 Cellu Drive Suite #107, Allcare Dental, Nashua, NH 03063 | 2006-11-22 |
| Find all providers in zip 03063 | ||||
| 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 |
|---|---|---|---|---|
| 1245313501 | Cvs Manchester Nh, L.L.C. | Pharmacy | 633 Amherst St, Nashua, NH 03063-1017 | 2006-10-23 |
| 1811902893 | Walgreen Co | Pharmacy | 550 Amherst St, Nashua, NH 03063-1016 | 2006-07-29 |
| 1154404416 | Cvs Manchester Nh LLC | Pharmacy | 242 Main St, Nashua, NH 03060-2931 | 2006-10-23 |
| 1699858951 | Cvs Manchester Nh, L.L.C. | Pharmacy | 214 Daniel Webster Hwy, Nashua, NH 03060-5504 | 2006-10-23 |
| 1326144593 | Walgreen Co | Pharmacy | 283 Main St, Nashua, NH 03060-2937 | 2006-09-15 |
| 1275643892 | Costco Wholesale Corporation | Pharmacy | 311 Daniel Webster Hwy, Nashua, NH 03060 | 2006-08-30 |
| 1275504979 | Allimont Pharmacies | Pharmacy | 310 Main St, Nashua, IA 50658-9482 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027852 | Premier Pharmacy LLC | Pharmacy | 53 Stiles Rd Ste B102, Salem, NH 03079-2890 | 2019-01-18 |
| 1326525551 | Genoa Healthcare, LLC | Pharmacy | 10 West St Ste P, Concord, NH 03301-3548 | 2018-07-20 |
| 1134606379 | Genoa Healthcare, LLC | Pharmacy | 17 93rd St Rm 234, Keene, NH 03431-3989 | 2018-07-20 |
| 1861979015 | Genoa Healthcare, LLC | Pharmacy | 52 W Pleasant St Ste P, Claremont, NH 03743-3055 | 2018-07-20 |
| 1922500701 | Imperial Rx LLC | Pharmacy | 182 Rockingham Rd Unit 2, Londonderry, NH 03053-2155 | 2018-03-07 |
| 1639420029 | Roberts Scarlett Pharmacy Inc | Pharmacy | 276 Newport Rd Ste 109, New London, NH 03257-5468 | 2012-09-25 |
| 1114236684 | Care Pharmacy | Pharmacy | 36 Center St, Wolfeboro Falls, NH 03896-1012 | 2010-10-01 |
| 1265749949 | Apothecary Central LLC | Pharmacy | 43 Allenstown Rd Ste 2, Allenstown, NH 03275-1812 | 2010-09-01 |
| 1205158490 | Warner Pharmacy | Pharmacy | 11 E. Main St, Warner, NH 03278 | 2010-02-16 |
| 1407005150 | Cvs Manchester Nh LLC | Pharmacy | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2008-09-17 |
| Find all providers with the same taxonomy | ||||
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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.