KMART PHARMACY,#7029 (NPI# 1326244112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326244112 |
Entity Type | Organization |
Organization Name | KMART PHARMACY,#7029 |
Other Organization Name | KMART CORPORATION |
Practice Address |
1700 Cedar St Helena MT 59601-1108 |
Mailing Address |
1700 Cedar Street Helena MT 59601 |
Practice Telephone | 4064495587 |
Practice Fax Number | 4064431243 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-12-19 |
Authorized Official Name | DALE J PURVIS (DIRECTOR THIRD PARTY ADMINISTRATION) |
Authorized Official Telephone | 8472862527 |
Authorized Official Credential | KMART PHARMACY |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 639 | MT | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 2704523 | 05 |
Other Name | Type Code |
---|---|
Kmart Corporation | Former Legal Business Name - Organization |
Street Address |
1700 CEDAR ST |
City | HELENA |
State | MT |
Zip Code | 59601-1108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508211533 | Sears Holding Corporation | Clinic/Center | 1700 Cedar St, Helena, MT 59601-1108 | 2016-04-27 |
1013371327 | Patricia Kay Brosious | Pharmacist | 1700 Cedar St, Helena, MT 59601-1108 | 2016-04-12 |
1124437785 | Dory Johnson Henderson | Pharmacist | 1700 Cedar St, Helena, MT 59601-1108 | 2014-08-07 |
1326228289 | Travis Alan Frydenlund | Pharmacist | 1700 Cedar St, Helena, MT 59601-1108 | 2007-11-08 |
1881807261 | Clifford Josh Morris | Pharmacist | 1700 Cedar St, Helena, MT 59601-1108 | 2007-05-08 |
1811100225 | Jennifer Hornung | Pharmacist | 1700 Cedar St, Helena, MT 59601-1108 | 2007-05-08 |
1205927621 | Kmart Pharmacy | Pharmacy | 1700 Cedar St, Helena, MT 59601-1108 | 2006-09-28 |
1710918842 | K Mart Corp | Pharmacy | 1700 Cedar St, Helena, MT 59601-1108 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
Find all providers in zip 59601 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144395518 | Helena Medical Laboratory, Inc | Clinical Medical Laboratory | 27 Neill Ave Ste 103, Helena, MT 59601-3383 | 2006-11-21 |
1477638732 | Elkhorn Mountain Cytology LLC | Clinical Medical Laboratory | 21 N Last Chance Gulch St Ste 205, Helena, MT 59601-4199 | 2006-10-26 |
1285916023 | Braman Labs LLC | Clinical Medical Laboratory | 2475 E Broadway St, Proffessional Wing Suite 100, Helena, MT 59601-4928 | 2011-09-19 |
1245482959 | Big Sky Diagnostic Labs, LLC | Clinical Medical Laboratory | 2475 E Broadway St, Helena, MT 59601-4928 | 2008-10-14 |
1134306954 | Laboratory Corporation of America | Clinical Medical Laboratory | 2600 Winne Ave, Ste D, Helena, MT 59601-4900 | 2008-01-23 |
1326114620 | State of Montana | Clinical Medical Laboratory | 1400 E Broadway St, Room B105, Helena, MT 59601-5231 | 2006-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013531979 | Rocky Mountain Biometrx | Clinical Medical Laboratory | 3511 1st Ave N Ste 2, Great Falls, MT 59401-3527 | 2020-06-05 |
1396246641 | Laboratory Corporation of America | Clinical Medical Laboratory | 2900 12th Ave N Ste 150w, Billings, MT 59101-7511 | 2018-02-22 |
1134627409 | Karla Rae Forster | Clinical Medical Laboratory | 1636 Hidden Cove Ln, Billings, MT 59101-9164 | 2018-01-31 |
1487179123 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2900 12th Ave N Ste 255w, Billings, MT 59101-7519 | 2017-08-03 |
1568857100 | Kalispell Denture Studio, LLC | Clinical Medical Laboratory | 79531 Us Highway 93, Elmo, MT 59915-9726 | 2015-03-31 |
1518359389 | Scott Inc | Clinical Medical Laboratory | 2425 Us Highway 2 E, Kalispell, MT 59901-2309 | 2015-03-03 |
1184876385 | Pamela S. Rehurek | Clinical Medical Laboratory | Hwy 212, Crow Agency, MT 59022 | 2008-10-21 |
1053533471 | Phillips County Hospital Lab Xray | Clinical Medical Laboratory | 311 8th Ave So, Malta, MT 59538 | 2007-05-03 |
1770700353 | Newport Pathology | Clinical Medical Laboratory | 966 Missoula Ave, Troy, MT 59935-9624 | 2007-04-18 |
1962411983 | Big Sky Ultrasound LLC | Clinical Medical Laboratory | 2800 Central Ave, Suite A, Billings, MT 59102-4666 | 2006-08-07 |
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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.