K MART CORP (NPI# 1154352284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154352284 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY7048 |
| Practice Address |
Rte 12 A West Lebanon NH 03784 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 6032988086 |
| Practice Fax Number | 6032989753 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-09 |
| 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 |
0517P | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30010620 | 05 | |
| PK | 2053472 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7048 | 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 |
| 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 |
| 1689605727 | K Mart Corp | Pharmacy | 625 Hwy 136, Baraboo, WI 53913-1061 | 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 |
RTE 12 A |
| City | WEST LEBANON |
| State | NH |
| Zip Code | 03784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1851776108 | Jessica Michelle Eid | Optometrist | 10 Benning St Ste 10, West Lebanon, NH 03784 | 2015-07-29 |
| 1972666774 | Richard Daniel Blake | Chiropractor | 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 | 2006-12-19 |
| 1629159629 | Linda M Wierwille | Marriage & Family Therapist | Child and Family Services 3 Abbott Avenue, West Lebanon Plaza, West Lebanon, NH 03784 | 2006-10-17 |
| 1770057572 | Angelica Ema Walsh | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784 | 2019-01-15 |
| 1477077790 | Alexandra Culver | Pharmacist | 3 Airport Rd, West Lebanon, NH 03784 | 2017-07-28 |
| 1215204961 | Maine Professional Opticians | Hearing Instrument Specialist | 8 Glen Rd, 23 Power House Mall, West Lebanon, NH 03784 | 2011-11-23 |
| 1487734190 | Jennifer R Kravitz | Physical Therapist | 103 S Main St, Green Mountain Physical Therapy Lnc, W Lebanon, NH 03784 | 2006-10-17 |
| 1982252805 | Michelle Kathryn Grojean | Speech-Language Pathologist | 55 Sachem Cir, West Lebanon, NH 03784-1029 | 2019-09-04 |
| 1548621469 | Jason Laurita | Orthopaedic Surgery | 8 Sachem Cir, Unit 3, West Lebanon, NH 03784-1035 | 2016-03-20 |
| Find all providers in zip 03784 | ||||
| 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 |
|---|---|---|---|---|
| 1477637064 | Cvs Manchester Nh L.L.C. | Pharmacy | 250 Plainfield Rd, West Lebanon, NH 03784-2000 | 2006-10-24 |
| 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 | ||||
| City | WEST LEBANON |
| Zip Code | 03784 |
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.