KMART PHARMACY (NPI# 1265784813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
15802 | NC | Ambulatory Health Care Facilities |
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 |
Street Address |
2455 LEWISVILLE CLEMMONS RD |
City | CLEMMONS |
State | NC |
Zip Code | 27012-8709 |
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 |
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 Code | 261QC1800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Corporate Health |
Definition to come... |
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 |
Please comment or provide details below to improve the information on KMART PHARMACY.
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.