K MART CORP


Address: Ridgeview Cte Us Rt 23 Bypass, Wise, VA 24293
Phone: 2766791124

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
0201002689 VA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2104932 01
VA 008523843 05
VA 8523843 05

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY3705 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 RIDGEVIEW CTE US RT 23 BYPASS
City WISE
State VA
Zip Code 24293

Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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
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Competitor

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City WISE
Zip Code 24293

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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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