KMART PHARMACY


Address: 2455 Lewisville Clemmons Rd, Clemmons, NC 27012-8709
Phone: 3367665424

KMART PHARMACY (NPI# 1265784813) 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) 1265784813
Entity Type Organization
Organization Name KMART PHARMACY
Practice Address 2455 Lewisville Clemmons Rd
Clemmons
NC 27012-8709
Practice Telephone 3367665424
Practice Fax Number 3357663100
Enumeration Date 2012-10-07
Last Update Date 2012-10-07
Authorized Official Name MR. AXEL MARTELL (REGISTERED PHARMACIST)
Authorized Official Telephone 3367665424
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1800X Clinic/Center
Specialization: Corporate Health
15802 NC Ambulatory Health Care Facilities

Other Provider IDs and Locations

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
1194188953 Kmart Pharmacy Pharmacist 1801 W Alexis Rd, Toledo, OH 43613-2302 2016-03-30
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

Office Location

Street Address 2455 LEWISVILLE CLEMMONS RD
City CLEMMONS
State NC
Zip Code 27012-8709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881625945 Transform Km LLC Durable Medical Equipment & Medical Supplies 2455 Lewisville Clemmons Rd, Clemmons, NC 27012-8709 2006-07-06
1689041105 Kmart Pharmacy Pharmacy 2455 Lewisville Clemmons Rd, Clemmons, NC 27012-8709 2015-09-01
1104293885 Axel Martell Pharmacist 2455 Lewisville Clemmons Rd, Clemmons, NC 27012-8709 2015-08-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427697978 Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 2020-01-02
1528521887 Novant Health Clemmons Outpatient Surgery, LLC Clinic/Center 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 2019-04-12
1710382411 Forsyth Memorial Hospital, Inc Internal Medicine 7114 Villiage Medical Circle, Clemmons, NC 27012 2014-10-24
1548661606 Novant Medical Group, Inc Orthopaedic Surgery 7138 Village Medical Circle, Clemmons, NC 27012 2014-09-09
1912323635 Lutheran Home - Forsyth County, Inc. Skilled Nursing Facility 7449 Fair Oaks Drive, Clemmons, NC 27012 2014-03-06
1487910758 Kelly Elizabeth Kirkpatrick Specialist/Technologist 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 2012-04-11
1366613663 Psimed Pa Psychiatry & Neurology 2511-d Neudorf Rd, Clemmons, NC 27012 2008-03-14
1871797688 Wake Forest University Baptist Medical Center Community Physicians Family Medicine 5175 Old Clemmons School Road, Clemmons, NC 27012 2007-06-14
1700970878 Thomas M Anderson Dds Pa Clinic/Center 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 2006-10-03
1902998941 Steven A Cuccia Dds Pa Dentist 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 2006-09-28
Find all providers in zip 27012

Taxonomy Information

Taxonomy Code 261QC1800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Corporate Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619453537 Physician Care Direct, LLC Clinic/Center 223 Wonderland Trl, Blowing Rock, NC 28605-6376 2018-07-13
1326003419 Medicorpcare, Inc Clinic/Center 1817 Watlington Dr, Charlotte, NC 28270-0785 2006-04-20
1952836595 Synergy Healthcare Usa, LLC Clinic/Center 3140 N Highway 16, Denver, NC 28037-7314 2017-04-20

Competitor

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City CLEMMONS
Zip Code 27012

Improve Information

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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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