K MART CORP


Address: 3555 Highway 190, Mandeville, LA 70471-3138
Phone: 9856265693

K MART CORP (NPI# 1134150105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134150105
Entity Type Organization
Organization Name K MART CORP
Other Organization Name KMART PHARMACY7384
Practice Address 3555 Highway 190
Mandeville
LA 70471-3138
Mailing Address 3333 Beverly Rd
Ac 367 B
Hoffman Estates
IL 60179-0001
Practice Telephone 9856265693
Practice Fax Number 9857274721
Mailing Telephone 8472862527
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
1599RC LA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1253049 05
PK 2030958 01

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY7384 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 3555 HIGHWAY 190
City MANDEVILLE
State LA
Zip Code 70471-3138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689998015 Cherie Disalvo Mckevitt Pharmacist 3555 Highway 190, Mandeville, LA 70471-3138 2010-03-14
1841573367 John Wilkins Jr. Pharmacist 3555 Highway 190, Mandeville, LA 70471-3138 2011-09-21
1306160817 Caroline Kustenmacher Pharmacist 3555 Highway 190, Mandeville, LA 70471-3138 2010-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497398234 Joshua Joseph Leblanc Pharmacist 541 Asbury Dr., Mandeville, LA 70471 2019-10-24
1700356789 John R. Macgregor Jr. M.d. (apmc) Non-Pharmacy Dispensing Site 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 2018-12-03
1619462082 Southern Family Chiropractic, LLC Chiropractor 2077 North Causeway Blvd, Mandeville, LA 70471 2018-06-27
1518459833 Marissa Rose Ledet Corneille Audiologist 1420 N Causeway Blvd., Mandeville, LA 70471 2018-06-01
1891285193 Tyler Gravley Chiropractor 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 2018-05-14
1831640259 Trey Stokes Nurse Anesthetist, Certified Registered 104 West Brighton Court, Mandeville, LA 70471 2016-10-20
1619420759 Erin Salerno Counselor 6408 Village Ln, Mandeville, LA 70471 2016-07-25
1699121822 Austin Fontenot Chiropractor 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 2016-05-06
1578935136 Vanessa Hadden Social Worker 600 Mariners Plaza, Mandeville, LA 70471 2015-10-22
1134590912 Slent Investments, LLC Clinic/Center 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 2015-10-19
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104477256 Peter Khong Pharmacy 2915 Us-190, Mandeville, LA 70461 2019-09-20
1497059661 Sbs Holdings LLC Pharmacy 21385 Marion Ln, Suite B, Mandeville, LA 70471-8714 2011-01-03
1710144548 Roelings Pharmacy LLC Pharmacy 2647 N Causeway Blvd, Ste 100, Mandeville, LA 70471 2008-05-20
1851306021 Walgreen Co Pharmacy 2050 Florida St, Mandeville, LA 70448-5234 2006-07-29
1598770752 Walgreen Co Pharmacy 2880 Highway 190, Mandeville, LA 70471-3254 2006-07-29
1588685861 Winn Dixie Stores Inc Pharmacy 4100 Highway 59, Mandeville, LA 70471-1961 2006-07-21
1093293532 Baham Pharmacy & Wellness LLC Pharmacy 3916 Highway 22, Mandeville, LA 70471-7306 2018-08-06
1639670672 Jeansonne Family Pharmacy, LLC Pharmacy 521 Asbury Drive, Mandeville, LA 70471 2018-02-26
1699143453 Wal-mart Pharmacy 3009 E Causeway Approach, Mandeville, LA 70448-3510 2015-09-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518568054 Chris Pharmacy of Gonzalez LLC Pharmacy 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 2020-11-02
1639779788 Harvey Lee Smith Jr. Pharmacy 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 2020-10-28
1194331579 Minden Family Pharmacy LLC Pharmacy 120 Homer Rd, Minden, LA 71055 2020-09-21
1093321812 Community Pharmacy of Sterlington Pharmacy 200 Scott Dr, Sterlington, LA 71280 2020-09-17
1386256121 Lagniappe Pharmacy 7, LLC Pharmacy 1900 Saint Charles Ave, New Orleans, LA 70130-5317 2020-08-22
1740890144 Downtown Drugs Inc Pharmacy 338 N Vermont St, Covington, LA 70433-2812 2020-07-31
1053929703 Viallon Drug Co of Donaldsonville Pharmacy 309 Marchand Dr, Donaldsonville, LA 70346-3242 2020-07-20
1619595584 Brown's Pharmacy, LLC Pharmacy 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 2020-07-08
1417573593 Doc Your Dose Pharmacy, LLC Pharmacy 17275 Hwy 77, Gross Tete, LA 70740 2020-06-24
1942829247 Good Vibe Ventures LLC Pharmacy 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 2020-04-16
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Competitor

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City MANDEVILLE
Zip Code 70471

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Dataset Information

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.

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