K MART CORP (NPI# 1093746133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093746133 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3522 |
| Practice Address |
180 Broadway Elmwood Park NJ 07407-3052 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 2017912218 |
| Practice Fax Number | 2014752678 |
| 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 |
28RS0046850 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5332508 | 05 | |
| PK | 2052001 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3522 | 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 |
180 BROADWAY |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871920017 | Doris H Pena | Pharmacist | 180 Broadway, Elmwood Park, NJ 07407-3052 | 2013-10-02 |
| 1417236985 | Jiangrong Wang | Pharmacist | 180 Broadway, Elmwood Park, NJ 07407-3052 | 2011-08-15 |
| 1679883045 | Laura Del Corso | Pharmacist | 180 Broadway, Elmwood Park, NJ 07407-3052 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| 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 |
|---|---|---|---|---|
| 1528121977 | Papa Medical Pharmacy Inc. | Pharmacy | 7239 W Grand Ave, Elmwood Park, IL 60707-2054 | 2006-12-18 |
| 1881609915 | Walgreen Co | Pharmacy | 7200 W North Ave, Elmwood Park, IL 60707-4227 | 2006-07-29 |
| 1306237698 | Best Health Pharmacy | Pharmacy | 260 Broadway, Elmwood Park, NJ 07407-3522 | 2015-02-09 |
| 1538251251 | New Jersey Cvs Pharmacy LLC | Pharmacy | 449 Market St, Elmwood Park, NJ 07407-3104 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
| 1255939492 | Jj Pharmacy | Pharmacy | 119 Broad Ave, Palisades Park, NJ 07650-1441 | 2020-10-10 |
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1578170569 | New Jersery Cvs Pharmacy LLC | Pharmacy | 750 Memorial Pkwy, Phillipsburg, NJ 08865-1679 | 2020-09-24 |
| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
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.