KMART (NPI# 1235583782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235583782 |
| Entity Type | Organization |
| Organization Name | KMART |
| Practice Address |
1801 W Alexis Rd Toledo OH 43613-2302 |
| Practice Telephone | 4194730206 |
| Mailing Telephone | 4194730206 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | ROBERT O URFER (PHARMACIST) |
| Authorized Official Telephone | 4194730206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
03109283 | OH | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHARMACIST | 03109283 | 01 | |
| OH | PHARMACIST | 03109283 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124456884 | Kmart | Point of Service | 613 First National St, Ironwood, MI 49938-3329 | 2013-10-16 |
| 1669704920 | Kmart | Pharmacy | 2716 Madison Ave, Indianapolis, IN 46225-2113 | 2010-02-10 |
| 1275734972 | Kmart | Pharmacist | 10501 Pines Blvd, Pembroke Pines, FL 33026 | 2007-05-30 |
| 1902358658 | Kmart | Pharmacist | 528 W Plank Rd, Altoona, PA 16602-2802 | 2016-10-28 |
| 1669922175 | Kmart | Pharmacy | 185 Upper River Rd, Gallipolis, OH 45631-1836 | 2016-10-07 |
| 1891149241 | Kmart | Pharmacist | 3801 Harmont Ave Ne, Canton, OH 44705-4331 | 2016-04-21 |
| 1437503083 | Kmart | Pharmacist | 210 W Mercury Blvd, Hampton, VA 23669-2513 | 2016-04-20 |
| 1891149670 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2016-04-19 |
| 1609239136 | Kmart | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-04-01 |
| 1700259728 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2015-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KMART | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Massachusetts Corporations | KMART APPAREL FASHION CORP. | 7373 West Side Avenue, North Bergen, NJ 07047 |
| Virginia Business Entities | KMART APPAREL FASHIONS CORP. | 1209 Orange St, Wilmington, Delaware |
| Oklahoma Business Registrations | KMART APPAREL FASHIONS CORP. | Kmart, 7373 W. Side Ave, North Bergen, NJ 07047-0000 |
| Vermont Business Registrations | KMART APPAREL FASHIONS CORP. | 1209 Orange St., Wilmington, DE 19801 |
| Connecticut Business Registrations | KMART APPAREL FASHIONS CORP. | 7373 Westside Ave, North Bergen, NJ 07047 |
| Vermont Business Registrations | KMART CORPORATION | 3333 Beverly Rd., Hoffman Estates, IL 60179 |
| Oklahoma Business Registrations | KMART CORPORATION | 3100 W. Big Beaver Rd., Troy, MI 48084 |
| Massachusetts Corporations | KMART LOGISTICS SERVICES, INC. | 3100 W. Big Beaver, Troy, MI 48084 |
| Washington State Corporations | KMART OF WASHINGTON LLC | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Street Address |
1801 W ALEXIS RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194188953 | Kmart Pharmacy | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-03-30 |
| 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 | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316412117 | Ashley Lynn Drake | Pharmacist | 2109 Hughes Dr Ste 550, Toledo, OH 43606-5103 | 2018-10-08 |
| 1215417761 | Sarah Aldrich | Pharmacist | 3000 Arlington Ave # Ms 1013, Toledo, OH 43614-2595 | 2018-08-15 |
| 1245717479 | Janelle Pope | Pharmacist | 3013 Monroe St, Toledo, OH 43606-4603 | 2018-07-20 |
| 1538605985 | Sirine Shoukair | Pharmacist | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2017-01-10 |
| 1386194710 | Kurt Deutschle | Pharmacist | 2109 Hughes Dr Ste 550, Toledo, OH 43606-5103 | 2016-10-10 |
| 1689127839 | Amanda Lynn Porter | Pharmacist | 3000 Arlington Ave, Ms 1131, Toledo, OH 43614-2595 | 2016-07-24 |
| 1912359233 | Angelo Vincent Iachini | Pharmacist | 2109 Hughes Dr, Suite 420, Toledo, OH 43606-3856 | 2016-07-11 |
| 1316346521 | Audrey Lynn Briner | Pharmacist | 2109 Hughes Dr Ste 550, Toledo, OH 43606-5103 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719309 | Susan E Jilek | Pharmacist | 1600 E Riverview Ave Ste 109, Napoleon, OH 43545-9805 | 2020-07-31 |
| 1336795988 | Yuexing Li | Pharmacist | 2490 Bethel Rd, Columbus, OH 43220-2293 | 2019-08-09 |
| 1346708302 | Cathy Ann Rozzi | Pharmacist | 6615 Clingan Rd Ste B, Poland, OH 44514-2196 | 2019-03-08 |
| 1629598768 | Gina Ayers | Pharmacist | 10685 Carnegie Ave Bldg X10, Cleveland, OH 44106-3018 | 2017-06-20 |
| 1942736038 | Rada Duplik | Pharmacist | 32565 Stonybrook Lane, Solon, OH 44139 | 2017-05-10 |
| 1043754716 | Angela Sanders | Pharmacist | 7412 Meadow Brooke Way, Northfield, OH 44067-4000 | 2016-12-14 |
| 1992249254 | Richard Lawrence Genovese | Pharmacist | 668 Corkhill Rd Apt 803a, Bedford, OH 44146-3487 | 2016-12-06 |
| 1942743927 | Anna Grabowski | Pharmacist | 9500 Euclid Ave # Jjn-10, Cleveland, OH 44195-0001 | 2016-11-23 |
| 1992248264 | Navjot Mahal | Pharmacist | 4728 Springwood Dr, Brooklyn, OH 44144 | 2016-11-18 |
| 1154873156 | Alyssa Sneed | Pharmacist | 9500 Euclid Ave # Hb-3, Cleveland, OH 44195-0001 | 2016-10-26 |
| 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.