KMART CORPORATION (NPI# 1306877428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306877428 |
Entity Type | Organization |
Organization Name | KMART CORPORATION |
Other Organization Name | KMART PHARMACY3917 |
Practice Address |
175 N West State Rd American Fork UT 84003-1485 |
Practice Telephone | 8017563699 |
Practice Fax Number | 8017563610 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2008-04-20 |
Authorized Official Name | DALE PURVIS (DIRECTOR OF THIRD PARTY ADMIN) |
Authorized Official Telephone | 8472862527 |
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 |
1326381703 | UT | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER | 4607264 | 01 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4607264 | 01 |
Other Name | Type Code |
---|---|
KMART PHARMACY3917 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619299146 | Kmart Corporation | Pharmacy | 545 Concord Pkwy N, Concord, NC 28027-6738 | 2010-02-25 |
1215968276 | Kmart Corporation | Pharmacy | 190 Stadium Dr, Defiance, OH 43512-4602 | 2006-07-06 |
1952332066 | Kmart Corporation | Pharmacy | 2400 W 29th St, Greeley, CO 80631-8525 | 2006-07-06 |
1275564320 | Kmart Corporation | Pharmacy | 210 Saratoga Rd, Scotia, NY 12302-4509 | 2006-07-06 |
1700817707 | Kmart Corporation | Pharmacy | 2705 Parleys Way, Salt Lake City, UT 84109-1619 | 2006-07-06 |
1467483461 | Kmart Corporation | Pharmacy | 1547 Highway 59 S, Thief River Falls, MN 56701-3413 | 2006-07-06 |
1932130085 | Kmart Corporation | Pharmacy | 15 Park Ave Ste 22, Clifton Park, NY 12065-2924 | 2006-07-06 |
1083645048 | Kmart Corporation | Pharmacy | 2707 W Broadway St, Princeton, IN 47670-9420 | 2006-07-06 |
1427089556 | Kmart Corporation | Pharmacy | 4855 Summit Ridge Dr, Reno, NV 89523-7936 | 2006-07-06 |
1669403713 | Kmart Corporation | Pharmacy | 1075 Middle Country Rd, Middle Island, NY 11953-2514 | 2006-07-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
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 |
Street Address |
175 N WEST STATE RD |
City | AMERICAN FORK |
State | UT |
Zip Code | 84003-1485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
Find all providers in zip 84003 |
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 |
---|---|---|---|---|
1699142224 | Utah Cvs Pharmacy, L.L.C. | Pharmacy | 475 E. State Rd., American Fork, UT 84003-2258 | 2015-08-31 |
1114558848 | Premier Family Pharmacy,llc | Pharmacy | 226 N 1100 E, American Fork, UT 84003-2054 | 2020-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
Find all providers with the same taxonomy |
City | AMERICAN FORK |
Zip Code | 84003 |
Please comment or provide details below to improve the information on KMART CORPORATION.
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.