KMART PHARMACY (NPI# 1194188953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194188953 |
| Entity Type | Organization |
| Organization Name | KMART PHARMACY |
| Practice Address |
1801 W Alexis Rd Toledo OH 43613-2302 |
| Practice Telephone | 4194730206 |
| Practice Fax Number | 4194733306 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | MR. LAWRENCE SHEETS (PHARMACIST/MANAGER) |
| Authorized Official Telephone | 4194730206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067278 | Kmart Pharmacy | Pharmacy | 161 Big Elk Mall, Elkton, MD 21921-5912 | 2016-08-05 |
| 1104270040 | Kmart Pharmacy | Pharmacist | 2965 Hemingway Lane, Lexington, KY 40513-0000 | 2016-04-18 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1386057677 | Kmart Pharmacy | Pharmacy | 1284 Brice Rd, Reynoldsburg, OH 43068-2311 | 2014-06-04 |
| 1104236843 | Kmart Pharmacy | Pharmacy | 1205 E Pine St, Deming, NM 88030-7038 | 2014-05-03 |
| 1588108757 | Kmart Pharmacy | Clinic/Center | 2600 Lincoln Way E, Massillon, OH 44646-5055 | 2016-12-07 |
| 1255787008 | Kmart Pharmacy | Case Management | 404 N Marine Corps Dr, Tamuning, GU 96913-4109 | 2016-05-11 |
| 1750735007 | Kmart Pharmacy | Pharmacy | 1308 W Walnut Ave, Dalton, GA 30720-3827 | 2016-04-22 |
| 1477907954 | Kmart Pharmacy | Pharmacy | 830 W Fulton St, Waupaca, WI 54981-1406 | 2016-04-20 |
| 1366896920 | Kmart Pharmacy | Pharmacy | 2520 Nicholasville Rd, Lexington, KY 40503-3384 | 2016-04-20 |
| Street Address |
1801 W ALEXIS RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235583782 | Kmart | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-04-21 |
| 1609239136 | Kmart | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-04-01 |
| 1134150295 | K Mart Corp | Pharmacy | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1386152742 | Virgena Rose Nagel | Home Health | 4326 Garden Park, Toledo, OH 43613 | 2018-01-18 |
| 1184140550 | Horizon Science Academy Toledo | Local Education Agency (LEA) | 2600 W Sylvania Ave, Suite #: 109, Toledo, OH 43613 | 2017-08-17 |
| 1356861611 | Sherese R Bonaparte | Home Health Aide | 1928 Barrows St, Toledo, OH 43613 | 2017-06-27 |
| 1962953075 | Maureen Montes | Registered Nurse | Washington Jr High School, 5700 Whitmer Dr., Toledo, OH 43613 | 2016-10-24 |
| 1427504638 | From Us To You Home Health Care Agency LLC | Home Health | 4401 Douglas Rd., Toledo, OH 43613 | 2016-08-28 |
| 1730582487 | Shamyre Lynn Garner | Social Worker | 1776 Tremainsville Road, Toledo, OH 43613 | 2014-10-08 |
| 1356788939 | John M Netwon | Home Health Aide | 4905 Roywood, Toledo, OH 43613 | 2013-05-23 |
| Find all providers in zip 43613 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747813 | Wilson James Bunton | Pharmacist | 3900 Sunforest Ct Ste 124, Toledo, OH 43623-4476 | 2019-12-11 |
| 1700305836 | Edmund Trung Bui | Pharmacist | 2127 Audubon Pl, Toledo, OH 43606-3301 | 2017-09-09 |
| 1598290140 | Kari Hens | Pharmacist | 1415 S Byrne Rd, Toledo, OH 43614-2316 | 2017-04-20 |
| 1770036576 | Ahmad Samir Sarsour | Pharmacist | 5355 Boyd St, Toledo, OH 43615-2827 | 2016-07-27 |
| 1003263492 | Joshua R Wyss | Pharmacist | 2807 Middlesex Dr, Toledo, OH 43606-3014 | 2016-05-16 |
| 1598122111 | Jacob Wargacki | Pharmacist | 2109 Hughes Dr Ste 420, Toledo, OH 43606-5142 | 2016-01-27 |
| 1457718561 | Jainy Shah | Pharmacist | 1415 Oak Hill Ct Apt 59, Toledo, OH 43614-2545 | 2016-01-20 |
| 1407292139 | Lauren Koch | Pharmacist | 4325 Secor Road, Toledo, OH 43623 | 2013-05-21 |
| 1043550643 | Daniel A Devito | Pharmacist | 2109 Hughes Dr Ste 550, Toledo, OH 43606-5103 | 2013-02-20 |
| 1477809473 | Natalie Jean Kolehmainen | Pharmacist | 3000 Arlington Ave # Ms 1013, Toledo, OH 43614-2595 | 2012-07-27 |
| Find all providers in TOLEDO | ||||
Please comment or provide details below to improve the information on 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.