K MART CORP (NPI# 1386675411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386675411 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4727 |
| Practice Address |
2403 Sw 27th Ave Ocala FL 34474-4407 |
| Mailing Address |
4849 Greenville Avenue Suite 1000-mailbox 21 Dallas TX 75206-4130 |
| Practice Telephone | 3522370143 |
| Practice Fax Number | 3528617116 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | MICHAEL HAMILTON (DIRECTOR MANAGED CARE SERVICES) |
| Authorized Official Telephone | 8472867735 |
| 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 |
PH0011780 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101294100 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1067265 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4727 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841621695 | K Mart Corp | Pharmacy | 25 W Polk St, Coalinga, CA 93210-2366 | 2013-12-04 |
| 1437397411 | K Mart Corp | Pharmacy | Carr. Pr-156 Km 54.00, Las Catalinas Mall, Local 4858, Caguas, PR 00726 | 2009-01-28 |
| 1336256007 | K Mart Corp | Pharmacy | 3625 E 18th St, Antioch, CA 94509-8511 | 2006-08-25 |
| 1205943974 | K Mart Corp | Pharmacy | 1050 N Davis Rd, Salinas, CA 93907-1944 | 2006-08-25 |
| 1437177102 | K Mart Corp | Pharmacy | 5665 Rosemead Blvd, Temple City, CA 91780-1804 | 2006-07-18 |
| 1154352284 | K Mart Corp | Pharmacy | Rte 12 A, West Lebanon, NH 03784 | 2006-07-06 |
| 1093746117 | K Mart Corp | Pharmacy | 1501 Us 1, Vero Beach, FL 32960-5735 | 2006-07-06 |
| 1417988486 | K Mart Corp | Pharmacy | 1581 Us 68, Maysville, KY 41056-9178 | 2006-07-06 |
| 1902837040 | K Mart Corp | Pharmacy | Route 70 E, Marlton, NJ 08053 | 2006-07-06 |
| 1780615815 | K Mart Corp | Pharmacy | 129 Mall Rd, Covington, VA 24426-2413 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Iowa Business Entities | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Connecticut Business Registrations | K MART CORPORATION | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Oregon Corporations, Companies and Business Names | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Virginia Business Entities | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, Illinois 60179 |
| New York State Corporations | K MART CORPORATION | 28 Liberty St., New York, New York 10005 |
| Oklahoma Business Registrations | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Washington State Corporations | K MART CORPORATION | 3333 Beverly Rd, Hoffman Estates, IL 60179-0001 |
| Street Address |
2403 SW 27TH AVE |
| City | OCALA |
| State | FL |
| Zip Code | 34474-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457677080 | John Heller Cromer | Pharmacist | 2403 Sw 27th Ave, Ocala, FL 34471-0807 | 2010-04-07 |
| 1457677031 | Donna L Hope | Pharmacist | 2403 Sw 27th Ave, Ocala, FL 34471-0807 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125167 | Hailey Roberts | Behavior Technician | 2202 Sw 20th Pl #302, Ocala, FL 34474 | 2019-07-03 |
| 1912560632 | La-sheria R Mcleod | Licensed Practical Nurse | 3240 Sw 34th St Apt 908, Ocala, FL 34474 | 2019-04-18 |
| 1043700792 | Clinical Positron Emission Tomography LLC | Clinic/Center | 3233 Sw 33rd Rd Ste 301, Ocala, FL 34474 | 2018-05-17 |
| 1861981896 | The Orthopaedic Institute, Pa | Emergency Medicine | 4600 Sw 46th Ct Ste 220, Ocala, FL 34474 | 2018-05-04 |
| 1790273738 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 3221 Sw 33rd Road, Suite 100, Ocala, FL 34474 | 2018-04-25 |
| 1841703337 | Stephanie E Nunes | Nurse Practitioner | 3131 Sw College Rd Ste 405, Ocala, FL 34474 | 2017-11-07 |
| 1316457013 | Holli Dobson Molina | Nurse Practitioner | 5200 Sw 31st St, Ocala, FL 34474 | 2017-10-07 |
| 1063964690 | Mary Aguilar | Specialist/Technologist, Other | 4900 Sw 46th Ct Apto 1406, Ocala, FL 34474 | 2016-10-31 |
| 1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
| 1881053031 | Jeanette M Hall | Pharmacist | 3130 Sw 32nd Ave., Ocala, FL 34474 | 2016-02-16 |
| Find all providers in zip 34474 | ||||
| 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 |
|---|---|---|---|---|
| 1689009714 | Marion Oaks Pharmacy Inc | Pharmacy | 13795 Sw 36th Avenue Rd Ste 5b, Ocala, FL 34473-6104 | 2013-09-09 |
| 1326472747 | Rush Family Care Inc. | Pharmacy | 11115 Sw 93rd Court Rd, Unit #300, Ocala, FL 34481-3103 | 2013-08-22 |
| 1235574013 | Sbcare Health Network | Pharmacy | 2509 Ne 14th St, Ocala, FL 34470-4801 | 2013-05-07 |
| 1205177607 | Avenue Pharmacy Inc | Pharmacy | 202 Sw 17th St Ste A, Ocala, FL 34471-8138 | 2013-03-09 |
| 1235304718 | Walgreen Co | Pharmacy | 260 Marion Oaks Blvd, Ocala, FL 34473-2513 | 2008-04-25 |
| 1144491382 | Om Pharmacy Inc | Pharmacy | 9309 Se Maricamp Rd, Ocala, FL 34472-2343 | 2008-03-16 |
| 1205929643 | Rxpert No 2 LLC | Pharmacy | 510 S Pine Ave, Ocala, FL 34474-4296 | 2006-09-30 |
| 1780789511 | Holiday Cvs LLC | Pharmacy | 3501 N Pine Ave, Ocala, FL 34475 | 2006-09-14 |
| 1780788604 | Holiday Cvs LLC | Pharmacy | 2401 Sw 27th Ave, Ocala, FL 34471-0807 | 2006-09-12 |
| 1285738260 | Holiday Cvs LLC | Pharmacy | 10255 Sw 86th Cir, Ocala, FL 34481-5574 | 2006-09-12 |
| Find all providers in OCALA | ||||
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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.