K MART CORP (NPI# 1235160367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235160367 |
Entity Type | Organization |
Organization Name | K MART CORP |
Other Organization Name | KMART PHARMACY3705 |
Practice Address |
Ridgeview Cte Us Rt 23 Bypass Wise VA 24293 |
Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
Practice Telephone | 2766791124 |
Practice Fax Number | 2766795786 |
Mailing Telephone | 8472864089 |
Mailing Fax Number | 8472861603 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2013-08-08 |
Authorized Official Name | ELIZABETH ZANDER (DIRECTOR MANAGED CARE) |
Authorized Official Telephone | 8472867661 |
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 |
0201002689 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2104932 | 01 | |
VA | 008523843 | 05 | |
VA | 8523843 | 05 |
Other Name | Type Code |
---|---|
KMART PHARMACY3705 | 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 |
Street Address |
RIDGEVIEW CTE US RT 23 BYPASS |
City | WISE |
State | VA |
Zip Code | 24293 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442367 | New Hope Addiction Recovery Inc | Family Medicine | 106 Spring Avenue Ne, Wise, VA 24293 | 2020-06-23 |
1225652340 | Jessica Wertz | Technician | 7507 Caddo Rd, Wise, VA 24293 | 2020-06-04 |
1831743632 | Ttgi2 LLC | Pharmacy | 426 West Main Street, Wise, VA 24293 | 2019-07-30 |
1861919730 | Mckenzie Grace Trotter | Speech-Language Pathologist | 324 School Ave Southeast, Wise, VA 24293 | 2017-08-23 |
1043734023 | 3 Guys Transport LLC | Non-emergency Medical Transport (VAN) | 5519 Pole Bridge Road, Wise, VA 24293 | 2017-08-01 |
1013352699 | Tester Chiropractic LLC. | Chiropractor | 411 East Main Street, Wise, VA 24293 | 2013-05-08 |
1861737181 | Family Preservation Services, Inc | Community/Behavioral Health | 5913 Airport Road, Wise, VA 24293 | 2012-11-28 |
1255614749 | Family Preservation Services, Inc | Community/Behavioral Health | 342 School Street, Wise, VA 24293 | 2011-09-21 |
1891013520 | Wise Rescue Squad Inc | Ambulance | 302 Railroad Ave, Wise, VA 24293 | 2010-05-05 |
1477784148 | Family Preservation Services, Inc. | Community/Behavioral Health | 117 Independence Avenue, Wise, VA 24293 | 2009-07-29 |
Find all providers in zip 24293 |
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 |
---|---|---|---|---|
1831743632 | Ttgi2 LLC | Pharmacy | 426 West Main Street, Wise, VA 24293 | 2019-07-30 |
1891888004 | Norton Community Physicians Services | Pharmacy | 716 Spring Ave Se, Wise, VA 24293 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
Find all providers with the same taxonomy |
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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.