KMART OF MICHIGAN INC


Address: 31200 Schoenherr Rd, Warren, MI 48088-7048
Phone: 5862940110

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301004887 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI 2526667 05
PK 2041167 01

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY4204 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 31200 SCHOENHERR RD
City WARREN
State MI
Zip Code 48088-7048

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City WARREN
Zip Code 48088

Improve Information

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Dataset Information

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.

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