K MART CORP (NPI# 1407887557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407887557 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY9430 |
| Practice Address |
500 Kamokila Blvd Kapolei HI 96707-2026 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8086749655 |
| Practice Fax Number | 8086938909 |
| 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 |
PHY611 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2018917 | 01 | |
| HI | 50712101 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY9430 | 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 |
500 KAMOKILA BLVD |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962859397 | Christina Bain | Pharmacist | 500 Kamokila Blvd, Kapolei, HI 96707-2026 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| 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 |
|---|---|---|---|---|
| 1811318926 | Mina Corporation | Pharmacy | 599 Farrington Hwy Ste 101, Kapolei, HI 96707-2028 | 2013-12-17 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1568718302 | Antonio Vai | Pharmacy | 92-739 Aoloko Pl, Kapolei, HI 96707-1169 | 2012-07-31 |
| 1215174693 | Longs Drug Stores California LLC | Pharmacy | 4450 Kapolei Pkwy, Kapolei, HI 96707-1889 | 2009-01-07 |
| 1366689606 | Costco Wholesale Corporation | Pharmacy | 4589 Kapolei Pkwy, Kapolei, HI 96707 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098701 | Queens Development Corporation & Subsidiaries | Pharmacy | 91-2139 Fort Weaver Rd Ste 106, Ewa Beach, HI 96706-3608 | 2019-05-09 |
| 1568958536 | 5 Minute Pharmacy Nanakuli LLC | Pharmacy | 87-2070 Farrington Hwy Ste K, Waianae, HI 96792-3756 | 2018-07-02 |
| 1356835730 | Princeville Pharmacy and Health Emporium LLC | Pharmacy | 4488 Hanalei Plantation Road, Suite 100, Princeville, HI 96722 | 2018-06-19 |
| 1851801336 | Kainaliu Pharmacy L.l.c | Pharmacy | 79-7393 Mamalahoa Hwy Ste 3, Kealakekua, HI 96750-7928 | 2017-10-10 |
| 1346623394 | Value Drug Ltd. | Pharmacy | 3375 Koapaka St Ste G320, Honolulu, HI 96819-1898 | 2015-07-08 |
| 1356741904 | Walgreen Co | Pharmacy | 116 S Hotel St Ste 101, Honolulu, HI 96813-3129 | 2014-09-02 |
| 1285041319 | Wailea Pharmacy LLC | Pharmacy | 34 Wailea Gateway Pl Ste A103, Wailea, HI 96753-6525 | 2014-07-21 |
| 1982035879 | Nineteen Fifty-one Partners, Inc. | Pharmacy | 74-5563 Kuakini Hwy, Suite 129, Kailua-kona, HI 96740 | 2013-12-03 |
| 1245674928 | Walgreen Co | Pharmacy | 91-1081 Keaunui Dr, Ewa Beach, HI 96706-6351 | 2013-04-24 |
| 1962846063 | Puna Plantation Hawaii, Ltd | Pharmacy | 68-3916 Paniolo Ave, Waikoloa, HI 96738 | 2013-04-19 |
| Find all providers with the same taxonomy | ||||
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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.