KMART STORES OF TEXAS LLC (NPI# 1275564270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275564270 |
| Entity Type | Organization |
| Organization Name | KMART STORES OF TEXAS LLC |
| Other Organization Name | KMART PHARMACY9329 |
| Practice Address |
2440 Pablo Kisel Blvd Brownsville TX 78526-4095 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 9565463407 |
| Practice Fax Number | 9565467379 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | JENNIFER SPEARES (DIR. OF COMPLIANCE AND ADMIN.) |
| Authorized Official Telephone | 8472865116 |
| 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 |
23056 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2101550 | 01 | |
| TX | 464474 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY9329 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265463269 | Kmart Stores of Texas LLC | Pharmacy | 1405 E Expressway 83, Mission, TX 78572-6612 | 2006-07-06 |
| 1932453941 | Kmart Stores of Texas LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 1265464010 | Kmart Stores of Texas LLC | Pharmacy | 1120 Mcrae Blvd, El Paso, TX 79925-7642 | 2006-07-06 |
| 1083645089 | Kmart Stores of Texas LLC | Pharmacy | 5001 San Dario Ave, Laredo, TX 78041-5777 | 2006-07-06 |
| 1174554174 | Kmart Stores of Texas LLC | Pharmacy | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2006-07-06 |
| 1356372353 | Kmart Stores of Texas LLC | Pharmacy | 3701 N 23rd St, Mcallen, TX 78501-6007 | 2006-07-06 |
| 1447281449 | Kmart Stores of Texas LLC | Pharmacy | 1101 S Fort Hood St, Killeen, TX 76541-7451 | 2006-07-06 |
| 1538190533 | Kmart Stores of Texas LLC | Pharmacy | 11330 Montwood Dr, El Paso, TX 79936-4383 | 2006-07-06 |
| 1710918719 | Kmart Stores of Texas LLC | Pharmacy | 1400 Wildcat Dr, Portland, TX 78374-2813 | 2006-07-06 |
| 1992736995 | Kmart Stores of Texas LLC | Pharmacy | 655 Sunland Park Dr, El Paso, TX 79912-5205 | 2006-07-06 |
| Street Address |
2440 PABLO KISEL BLVD |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78526-4095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013117712 | Kendall Mcmullen Frost | Pharmacist | 2440 Pablo Kisel Blvd, Brownsville, TX 78526-4095 | 2007-07-20 |
| 1881059913 | Joel Benitez | Pharmacist | 2440 Pablo Kisel Blvd, Brownsville, TX 78526-4095 | 2015-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938472 | Eva Gabriela Gonzalez | Speech-Language Pathologist | 1900, 77 N Expy, Suite K, Brownsville, TX 78526 | 2020-07-01 |
| 1598390395 | Miguel Angel Segura | Physical Therapy Assistant | 1900, 77 N Expy Suit K, Brownsville, TX 78526 | 2020-03-12 |
| 1013553072 | Michaela Christine Arteaga | Specialist/Technologist | 15151 Mission Bend Drive, Brownsville, TX 78526 | 2019-11-25 |
| 1871147975 | Madeline Jules Rodriguez | Dentist | 2155 Ruben M Torres Blvd, Suite 4, Brownsville, TX 78526 | 2019-07-26 |
| 1194381616 | Ben Medelez IIi | Physical Therapy Assistant | 4920 N. Expressway 77, Ste C, Brownsville, TX 78526 | 2019-05-10 |
| 1700368297 | Hasayali Mejia | Occupational Therapy Assistant | 4920 N Expressway 77, Suite C, Brownsville, TX 78526 | 2018-08-31 |
| 1801381983 | J&m Home Health LLC | Home Health | 183 Kleberg Avenue, Brownsville, TX 78526 | 2018-06-29 |
| 1407346158 | Ignite Physical Therapy | Clinic/Center | 1805 Ruben Torres Blvd, Brownsville, TX 78526 | 2018-05-17 |
| 1982192001 | Uvalde County Hospital Authority | Skilled Nursing Facility | 310 America Dr, Brownsville, TX 78526 | 2018-04-24 |
| 1821597212 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3000 Pablo Kisel Blvd Ste 300c, Brownsville, TX 78526 | 2018-02-12 |
| Find all providers in zip 78526 | ||||
| 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 |
|---|---|---|---|---|
| 1609439231 | Valleywide Pharmacy and Dme Inc | Pharmacy | 800 E Alton Gloor Blvd Ste A, Brownsville, TX 78526-4296 | 2019-04-18 |
| 1386034981 | Brownsville Pharmacy 3 | Pharmacy | 800 E Alton Gloor Blvd, Unit B, Brownsville, TX 78526-4248 | 2015-02-03 |
| 1598109373 | Kv Early Inc | Pharmacy | 3243 Southmost Rd, Brownsville, TX 78521-4857 | 2013-04-23 |
| 1912248436 | Hometown Drug Co. LLC | Pharmacy | 2280 N Washington Ave, Brownsville, TN 38012-1607 | 2013-03-07 |
| 1215271853 | Wal-mart Stores East Lp | Pharmacy | 134 Daniel Kendall Dr, Brownsville, PA 15417-8303 | 2012-11-20 |
| 1033321146 | Valley Baptist Pharmacy Services | Pharmacy | 864 Central Blvd., Ste. 1200, Brownsville, TX 78520 | 2007-05-03 |
| 1265577605 | Dowling Pharmacy,llc | Pharmacy | 2571 N Washington Ave, Brownsville, TN 38012-1610 | 2007-02-21 |
| 1174673339 | Lopez Pharmacy | Pharmacy | 5850 Fm 802 Ste C8, Brownsville, TX 78526-5206 | 2007-01-11 |
| 1932258860 | Arthur J Masso | Pharmacy | 3855 Southmost Rd Fl 2, Brownsville, TX 78521-4863 | 2007-01-09 |
| 1003984030 | International Pharmacies | Pharmacy | 500 Paredas Line Rd, Brownsville, TX 78521 | 2006-11-30 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78526 |
Please comment or provide details below to improve the information on KMART STORES OF TEXAS LLC.
| 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.