KMART (NPI# 1437503083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437503083 |
| Entity Type | Organization |
| Organization Name | KMART |
| Practice Address |
210 W Mercury Blvd Hampton VA 23669-2513 |
| Practice Telephone | 7577222823 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | MRS. JOAN MICHELLE JOHNSON (PHARMACIST) |
| Authorized Official Telephone | 75783837846 |
| Is Organization Subpart | Y |
| Parent Organization Name | KMART |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202011969 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124456884 | Kmart | Point of Service | 613 First National St, Ironwood, MI 49938-3329 | 2013-10-16 |
| 1669704920 | Kmart | Pharmacy | 2716 Madison Ave, Indianapolis, IN 46225-2113 | 2010-02-10 |
| 1275734972 | Kmart | Pharmacist | 10501 Pines Blvd, Pembroke Pines, FL 33026 | 2007-05-30 |
| 1902358658 | Kmart | Pharmacist | 528 W Plank Rd, Altoona, PA 16602-2802 | 2016-10-28 |
| 1669922175 | Kmart | Pharmacy | 185 Upper River Rd, Gallipolis, OH 45631-1836 | 2016-10-07 |
| 1235583782 | Kmart | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-04-21 |
| 1891149241 | Kmart | Pharmacist | 3801 Harmont Ave Ne, Canton, OH 44705-4331 | 2016-04-21 |
| 1891149670 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2016-04-19 |
| 1609239136 | Kmart | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-04-01 |
| 1700259728 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2015-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KMART | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Massachusetts Corporations | KMART APPAREL FASHION CORP. | 7373 West Side Avenue, North Bergen, NJ 07047 |
| Virginia Business Entities | KMART APPAREL FASHIONS CORP. | 1209 Orange St, Wilmington, Delaware |
| Oklahoma Business Registrations | KMART APPAREL FASHIONS CORP. | Kmart, 7373 W. Side Ave, North Bergen, NJ 07047-0000 |
| Vermont Business Registrations | KMART APPAREL FASHIONS CORP. | 1209 Orange St., Wilmington, DE 19801 |
| Connecticut Business Registrations | KMART APPAREL FASHIONS CORP. | 7373 Westside Ave, North Bergen, NJ 07047 |
| Vermont Business Registrations | KMART CORPORATION | 3333 Beverly Rd., Hoffman Estates, IL 60179 |
| Oklahoma Business Registrations | KMART CORPORATION | 3100 W. Big Beaver Rd., Troy, MI 48084 |
| Massachusetts Corporations | KMART LOGISTICS SERVICES, INC. | 3100 W. Big Beaver, Troy, MI 48084 |
| Washington State Corporations | KMART OF WASHINGTON LLC | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Street Address |
210 W MERCURY BLVD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23669-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578500898 | Ebony Denise Andrews | Pharmacist | 210 W Mercury Blvd, Hampton, VA 23669-2513 | 2006-06-02 |
| 1871811224 | Patrick Bowler Baldwin | Pharmacist | 210 W Mercury Blvd, Hampton, VA 23669-2513 | 2010-05-10 |
| 1801114558 | Kelly K Do | Pharmacist | 210 W Mercury Blvd, Hampton, VA 23669-2513 | 2010-05-05 |
| 1588695605 | K Mart Corp | Pharmacy | 210 W Mercury Blvd, Hampton, VA 23669-2513 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225519325 | Morgan Mead | Dietitian, Registered | Usaf Hospital, 77 Nealy Ave, Apo, AA 23669 | 2018-08-27 |
| 1689193690 | Tisha Marie Payne | In Home Supportive Care | 52 Old Hampton Ln Suite F, Hampton, VA 23669 | 2017-09-12 |
| 1275063372 | Crystal Sharps | Registered Nurse | 27 Rockingham Dr, Hampton, VA 23669 | 2017-06-13 |
| 1851826945 | Icare Health Care Services, LLC | Home Health | 1314 Willnew Dr, Hampton, VA 23669 | 2017-04-26 |
| 1790132173 | Jennifer Jones-hicks | Speech-Language Pathologist | 67 Red Robin Turn, Hampton, VA 23669 | 2016-05-16 |
| 1316313588 | Elizabeth Anne Brewer | Physical Therapist | 23 Curle Road, Hampton, VA 23669 | 2015-08-11 |
| 1497132146 | Felicia Walker | Driver | 129 Settlers Landing Rd, Hampton, VA 23669 | 2015-05-01 |
| 1821375858 | Alabaster Anointed Home Care LLC | Home Health | 703 Essex Park Drive, Hampton, VA 23669 | 2011-11-04 |
| 1649414269 | Genesis Healthcare | Rehabilitation Hospital | 113 Atwell Lane, Hampton, VA 23669 | 2009-04-27 |
| 1689648164 | Anthony P Fisher | Family Medicine | 200 Eaton St, Hampton, VA 23669 | 2006-02-14 |
| Find all providers in zip 23669 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813399 | Scotte M Johnson | Pharmacist | 6 Treebark Pl, Hampton, VA 23666-2179 | 2020-08-26 |
| 1609494277 | Joshua Atere | Pharmacist | 100 Emancipation Dr Hampton, Hampton, VA 23667-0001 | 2020-07-10 |
| 1942853528 | Sylvia Gergis | Pharmacist | 303 Roane Dr, Hampton, VA 23669-2533 | 2019-07-22 |
| 1295247526 | Brittany Bernardino | Pharmacist | 1703 Elm Street W, Hampton, SC 29924 | 2017-10-26 |
| 1497278345 | Bryce Alan Stafford | Pharmacist | 1703 Elm Street West, Hampton, SC 29924 | 2017-07-24 |
| 1699217448 | Imani Tuck | Pharmacist | 227 Fox Hill Rd, Unit B1, Hampton, VA 23669-1739 | 2016-11-10 |
| 1659824688 | Tiana Johnson | Pharmacist | 8 Ravenscroft Ln, Hampton, VA 23669-4819 | 2016-07-26 |
| 1295188423 | Mark Moskal | Pharmacist | 321 Lafayette Rd # A, Hampton, NH 03842-2158 | 2016-07-22 |
| 1376998435 | Ikenna Stephen Okafor | Pharmacist | 1585 Briarfield Rd Apt 35, Hampton, VA 23666-4846 | 2016-04-26 |
| 1427486034 | Teresa L Gooding | Pharmacist | 1703 Elm Stree West, Hampton, SC 29924 | 2013-10-16 |
| Find all providers in HAMPTON | ||||
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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.