KMART OF MICHIGAN INC (NPI# 1356372338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356372338 |
Entity Type | Organization |
Organization Name | KMART OF MICHIGAN INC |
Other Organization Name | KMART PHARMACY4204 |
Practice Address |
31200 Schoenherr Rd Warren MI 48088-7048 |
Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
Practice Telephone | 5862940110 |
Practice Fax Number | 5862948941 |
Mailing Telephone | 8472864089 |
Mailing Fax Number | 8472861603 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2014-10-30 |
Authorized Official Name | DAIN RUSK (VP/GM PHARMACY) |
Authorized Official Telephone | 8472863348 |
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 |
5301004887 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2526667 | 05 | |
PK | 2041167 | 01 |
Other Name | Type Code |
---|---|
KMART PHARMACY4204 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114353919 | Kmart of Michigan Inc | Pharmacy | 2425 S I 75 Business Loop, Grayling, MI 49738-2042 | 2013-09-25 |
1609984095 | Kmart of Michigan Inc | Pharmacy | 1151 S Otsego Ave # A, Gaylord, MI 49735-1789 | 2006-08-27 |
1760413751 | Kmart of Michigan Inc | Pharmacy | 2500 E M21, Corunna, MI 48817 | 2006-07-06 |
1700817780 | Kmart of Michigan Inc | Pharmacy | 19800 West Rd, Woodhaven, MI 48183-3319 | 2006-07-06 |
1609807692 | Kmart of Michigan Inc | Pharmacy | 6730 River Rd, Marine City, MI 48039-2284 | 2006-07-06 |
1538190517 | Kmart of Michigan Inc | Pharmacy | 100 E Maple Rd, Troy, MI 48083-2714 | 2006-07-06 |
1457382434 | Kmart of Michigan Inc | Pharmacy | 215 N Maple Rd, Ann Arbor, MI 48103-2823 | 2006-07-06 |
1538190525 | Kmart of Michigan Inc | Pharmacy | 710 Chicago Dr, Holland, MI 49423-3074 | 2006-07-06 |
1750312740 | Kmart of Michigan Inc | Pharmacy | 17580 Frazho Rd, Roseville, MI 48066-3829 | 2006-07-06 |
1336170323 | Kmart of Michigan Inc | Pharmacy | 2948 S State Rd, Ionia, MI 48846-9475 | 2006-07-06 |
Street Address |
31200 SCHOENHERR RD |
City | WARREN |
State | MI |
Zip Code | 48088-7048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821022674 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 31200 Schoenherr Rd, Warren, MI 48088 | 2006-07-10 |
1952948796 | Sandeep Kumar Gade | Pharmacist | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2019-11-27 |
1487290557 | Gerald Karim Gappy | Pharmacist | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2019-11-22 |
1184279689 | Diala Al Rizk | Pharmacist | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2019-08-02 |
1386160406 | Jena Cross | Pharmacist | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2017-08-21 |
1275896144 | Denise Randall | Pharmacist | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2012-06-16 |
1295097541 | Mark Rowinski | Pharmacist | 31200 Schoenherr Rd, Pharmacy 4204, Warren, MI 48088-7048 | 2012-06-12 |
1831249002 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
Find all providers in zip 48088 |
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 |
---|---|---|---|---|
1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
1891337804 | Warren Family Pharmacy LLC | Pharmacy | 29156 Hoover Rd, Warren, MI 48093-3476 | 2019-10-10 |
1629532593 | Prestige Specialty Pharmacy 3 | Pharmacy | 31700 Van Dyke Ave Ste C, Warren, MI 48093-7949 | 2019-01-24 |
1871019422 | Highland Rx | Pharmacy | 26000 Hoover Rd Ste 107, Warren, MI 48089-1167 | 2017-08-16 |
1417472697 | Jp Pharmacy Inc. | Pharmacy | 27301 Schoenherr Rd Ste 106, Warren, MI 48088-6649 | 2017-08-08 |
1013431014 | Shah Alam Bhuiyan | Pharmacy | 24831 Ryan Rd, Warren, MI 48091-3390 | 2017-08-01 |
1427578483 | Elwaseem & Associates LLC | Pharmacy | 4208 E 9 Mile Rd, Warren, MI 48091-2578 | 2017-06-21 |
1952832990 | Genoa Healthcare, LLC | Pharmacy | 103 W Market St Ste P, Warren, OH 44481-1017 | 2017-03-22 |
1033667472 | Greater Care Pharmacy LLC | Pharmacy | 24800 Hoover Rd Ste B, Warren, MI 48089-1965 | 2016-09-14 |
1871913640 | Hoover Drugs LLC | Pharmacy | 28675 Hoover Rd, Warren, MI 48093-4152 | 2014-04-21 |
Find all providers in WARREN |
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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.