K MART CORP (NPI# 1104857234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104857234 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3761 |
| Practice Address |
7422 Gall Blvd Zephyrhills FL 33541-4310 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8137838559 |
| Practice Fax Number | 8137801031 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | DAIN RUSK (VP/GM PHARMACY) |
| Authorized Official Telephone | 8472863348 |
| 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 |
PH11058 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100922200 | 05 | |
| PK | 2010106 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3761 | 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 |
| Massachusetts Corporations | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Street Address |
7422 GALL BLVD |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33541-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154756971 | Jorge Eduardo Gonzalez | Pharmacist | 7422 Gall Blvd, Zephyrhills, FL 33541-4310 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470788 | Esnath Prudence Powe | Registered Nurse | 6105 Merrifield Drive, Zepityrhills, FL 33541 | 2018-03-14 |
| 1932649993 | Jose L Bonilla | Nurse Anesthetist, Certified Registered | 7050 Gall Blvd., Zephyrhills, FL 33541 | 2017-02-24 |
| 1447502364 | Patricia Nicole Fleming | Massage Therapist | 7050 Gall Boulevard, Zephyrhills, FL 33541 | 2012-10-03 |
| 1922235290 | Shanna Rhea Preston Allen | Speech-Language Pathologist | 35015 Meadow Reach Dr, Zephyrhills, FL 33541 | 2009-06-15 |
| 1275724726 | Leonel A Pastora | Durable Medical Equipment & Medical Supplies | 4845 Allen Rd, Zephyrhills, FL 33541 | 2007-08-08 |
| 1275735813 | Rhonda Leslie | Developmental Therapist | 35808 Diamond Head Court, Zephyrhills, FL 33541 | 2007-06-05 |
| 1912127838 | Connie Lea Yeomon | Licensed Practical Nurse | 37918 Medical Arts Ct, Zephyrhills, FL 33541 | 2007-04-26 |
| 1972723898 | Ida F Schultz | Licensed Practical Nurse | 37922 Medical Arts Court, Zephyrhills, FL 33541 | 2007-04-26 |
| 1679615868 | Edward F Bishara | Pharmacist | 36348 State Road 54, Zephyrhills, FL 33541 | 2007-02-13 |
| 1588718647 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6844 Gall Boulevard, Zephyrhills, FL 33541 | 2007-01-23 |
| Find all providers in zip 33541 | ||||
| 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 |
|---|---|---|---|---|
| 1023599321 | Bayside Pharmacy | Pharmacy | 35772 State Road 54, Zephyrhills, FL 33541-2241 | 2018-08-24 |
| 1902236367 | S & Z Khan Corp | Pharmacy | 36600 State Road 54, Zephyrhills, FL 33541-6940 | 2013-11-22 |
| 1821348525 | Florida Pharmacy Solutions, Inc | Pharmacy | 38444 5th Avenue, Zephyrhills, FL 33542 | 2012-09-11 |
| 1134437650 | Value Rx Zephyrhills LLC | Pharmacy | 38160 Medical Center Ave, Zephyrhills, FL 33540-1380 | 2010-09-17 |
| 1295049344 | Hope Pharmacy of Florida, Inc | Pharmacy | 6834 Gall Blvd Ste 105, Zephyrhills, FL 33542-2506 | 2010-07-31 |
| 1154425130 | Holiday Cvs LLC | Pharmacy | 37943 Eiland Blvd, Zephyrhills, FL 33542-2523 | 2006-09-12 |
| 1992361729 | Purecare Pharmacy LLC | Pharmacy | 6834 Gall Blvd Ste 105, Zephyrhills, FL 33542-2506 | 2019-05-16 |
| 1427562412 | Zephyrhills Pharmacy LLC | Pharmacy | 36600 State Road 54, Zephyrhills, FL 33541 | 2017-11-29 |
| 1033564836 | Empire Pharmacy & Healthcare Services LLC | Pharmacy | 6834 Gall Blvd Ste 105, Zephyrhills, FL 33542-2506 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33541 |
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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.