K MART CORP (NPI# 1255362398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255362398 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY9418 |
| Practice Address |
25301 Rockaway Blvd Rosedale NY 11422-3135 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5162954057 |
| Practice Fax Number | 5162957917 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | GHASSAN HOURANI (VP/GMM PHARMACY ADMIN) |
| Authorized Official Telephone | 8472863382 |
| 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 |
024514 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3307229 | 01 | |
| NY | 01996161 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY9418 | 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 |
25301 ROCKAWAY BLVD |
| City | ROSEDALE |
| State | NY |
| Zip Code | 11422-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003967241 | Dac Vision Services Inc | Technician/Technologist | 25301 Rockaway Blvd, Rosedale, NY 11422-3113 | 2007-01-15 |
| 1588101836 | B & E Eyewear Inc | Technician/Technologist | 25301 Rockaway Blvd, Inside Nwl, Rosedale, NY 11422-3135 | 2017-01-25 |
| 1952773798 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 25301 Rockaway Blvd, Rosedale, NY 11422-3135 | 2015-10-20 |
| 1043494123 | Andrew M Cullen | Technician/Technologist | 25301 Rockaway Blvd, Rosedale, NY 11422-3113 | 2007-12-25 |
| 1114134962 | Mark Alan Hertzberg | Optometrist | 25301 Rockaway Blvd, Rosedale, NY 11422-3113 | 2007-05-17 |
| 1114142858 | Paul J Getreu | Dentist | 25301 Rockaway Blvd, Five Towns Plaza, Rosedale, NY 11422-3113 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447791116 | Home Companion Services,inc. | In Home Supportive Care | 25311 147th Dr, Rosedale, NY 11422 | 2017-03-15 |
| 1508302779 | Rayne Shomo | Licensed Practical Nurse | 249-22 144th Ave, Rosedale, NY 11422 | 2017-01-12 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1578019410 | Maureen Mckenzie | Registered Nurse | 241-25 148th Drive, Rosedale, NY 11422 | 2016-08-31 |
| 1386097657 | A Touch That Cares Home Services | Home Health | 13891 Francis Lewis Blvd, Rosedale, NY 11422 | 2016-07-21 |
| 1093160293 | Regine St. Leger | Registered Nurse | 128-07 236th Street, Rosedale, NY 11422 | 2016-04-26 |
| 1942664115 | Raising In The Sun, Ltd | Early Intervention Provider Agency | 257-04 149th Avenue, Rosedale, NY 11422 | 2016-04-13 |
| 1740656958 | Jaelle Jeudy | Licensed Practical Nurse | 243-59 Mayda Rd, Rosedale, NY 11422 | 2015-08-12 |
| 1851785380 | Elizabeth Madison Nutrition, Pllc | Clinic/Center | 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 | 2015-03-23 |
| 1659763894 | Leonard Barrett | Nutritionist | 220 01 Jamaica Av., Queens, NY 11422 | 2015-02-25 |
| Find all providers in zip 11422 | ||||
| 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 |
|---|---|---|---|---|
| 1407991557 | Lewis Drug Store LLC | Pharmacy | 302 Court St, Rosedale, MS 38769-5509 | 2007-02-20 |
| 1942364351 | Ava's Pharmacy Inc | Pharmacy | 253-20 147th Ave, Rosedale, NY 11422-2541 | 2006-12-20 |
| 1710081278 | A-k Pharmacy Corp | Pharmacy | 14373 243rd St, Rosedale, NY 11422-2339 | 2006-09-12 |
| 1215942495 | Walgreen Co | Pharmacy | 8606 Philadelphia Rd, Rosedale, MD 21237-3021 | 2006-07-29 |
| 1245878479 | Astra Rx Inc | Pharmacy | 23520 147th Ave, Rosedale, NY 11422-3226 | 2019-12-18 |
| 1972074417 | Steen Pharmacy, LLC | Pharmacy | 9106 Philadelphia Rd Ste 100, Rosedale, MD 21237-4331 | 2018-12-10 |
| 1609249218 | Instacare Pharmacy Inc | Pharmacy | 23520 147th Ave, Rosedale, NY 11422-3226 | 2015-11-04 |
| 1821398934 | Riterx Pharmacy, Inc | Pharmacy | 235-20 147th Ave, Suite#2, Rosedale, NY 11422-3293 | 2010-10-25 |
| 1659603876 | Ghc Pharmacy Inc. | Pharmacy | 23428 Merrick Blvd, Rosedale, NY 11422-1320 | 2010-02-14 |
| 1053363671 | Medstar Pharmacies, Inc. | Pharmacy | 9103 Franklin Square Dr, Suite 1800, Rosedale, MD 21237-3900 | 2006-05-16 |
| Find all providers in ROSEDALE | ||||
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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.