SEARS HOLDING - KMART PHARMACY (NPI# 1174987770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174987770 |
| Entity Type | Organization |
| Organization Name | SEARS HOLDING - KMART PHARMACY |
| Practice Address |
485 Norvell Rd Corbin KY 40701-6205 |
| Practice Telephone | 6063041077 |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2016-04-09 |
| Authorized Official Name | JENNIFER BAKER (PHARMACY MANAGER) |
| Authorized Official Telephone | 6063041077 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | P02349 | KY | Managed Care Organizations |
| Street Address |
485 NORVELL RD |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713173 | Heidi Fuller | Point of Service | 12121 Shelbyville Rd Ste 101, Louisville, KY 40243-1094 | 2020-02-25 |
| 1225574817 | Wakefields Home Health & Improvement | Point of Service | 1108 Longfield Ave, Louisville, KY 40215-2728 | 2017-01-06 |
| 1639526940 | Children1st | Point of Service | 104 Holiday Court, Elizabethtown, KY 42701-8809 | 2016-05-17 |
| 1790175438 | Hendricks Family & Cosmetic Dentistry | Point of Service | 1025 Dove Run Rd Ste 208, Lexington, KY 40502-3588 | 2015-02-03 |
| 1851693139 | Lets Stay Home | Point of Service | 136 N Crestmoor Ave, Louisville, KY 40206-2735 | 2010-11-19 |
| 1871820290 | Honor Care LLC | Point of Service | 4215 Pleasant Valley Rd, Owensboro, KY 42303-9632 | 2009-11-05 |
| 1407075088 | Gentle Care Family Cosmetic Dentistry | Point of Service | 2558 Larkin Rd, Lexington, KY 40503-3205 | 2007-04-24 |
| 1871623520 | Fern Creek Traditional High School | Point of Service | 9115 Fern Creek Rd, Louisville, KY 40291-2711 | 2007-03-06 |
| 1740388511 | Carmen Renee Browning | Point of Service | 111 Minary Ave, Versailles, KY 40383-1329 | 2006-09-20 |
| 1285185587 | Zipclinic Urgent Care | Point of Service | 2508 Scottsville Rd, Suite 102, Bowling Green, KY 42104-4400 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SEARS HOLDING - KMART PHARMACY.
| 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.