K MART CORP (NPI# 1396776415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396776415 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3206 |
| Practice Address |
4715 Nine Mile Rd Richmond VA 23223-4908 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8042269388 |
| Practice Fax Number | 8042222773 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | JENNIFER SPEARES (DIR. OF COMPLIANCE AND ADMIN.) |
| Authorized Official Telephone | 8472865116 |
| 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 |
0201001291 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8526605 | 05 | |
| VA | 008526605 | 05 | |
| PK | 2102963 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3206 | 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 |
4715 NINE MILE RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891954426 | Tammy Lynn Estes | Pharmacist | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2008-06-09 |
| 1891149670 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2016-04-19 |
| 1093169914 | Zelalem Meaza | Pharmacist | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2016-04-17 |
| 1700259728 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2015-11-12 |
| 1528386315 | Johnny Allen Moore | Pharmacist | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2010-05-04 |
| 1336461185 | Ajit Damodaran | Pharmacist | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2010-02-22 |
| 1932431186 | Jeanese Holmes Reiss | Pharmacist | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| 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 |
|---|---|---|---|---|
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1316550940 | Lead Off 1 Enterprises LLC | Pharmacy | 742 Crabb River Rd, Richmond, TX 77469-5608 | 2020-08-24 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1790319713 | Titaniumrx Pllc | Pharmacy | 2116 Thompson Rd Ste G1, Richmond, TX 77469-5428 | 2020-02-28 |
| 1629601174 | Prescript Assist Pharmacy LLC | Pharmacy | 301 S 9th St Ste 102, Richmond, TX 77469-3448 | 2020-02-12 |
| 1104466333 | Sterling Pharmacy LLC | Pharmacy | 2035 Fm 359 Rd Ste K, Richmond, TX 77406-1142 | 2020-01-15 |
| 1891339214 | Goldcoast Pharmaceuticals Inc | Pharmacy | 8433 Fm 1464 Rd Ste S, Richmond, TX 77407-1103 | 2019-10-29 |
| 1861048555 | Commonshare, Inc | Pharmacy | 2026 Dabney Rd Ste A, Richmond, VA 23230-3347 | 2019-08-17 |
| 1740845874 | Long Meadow Rx, LLC | Pharmacy | 5530 Long Prairie Trce Ste 100, Richmond, TX 77407-2331 | 2019-05-03 |
| Find all providers in RICHMOND | ||||
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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.