KMART OF MICHIGAN INC (NPI# 1447281423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447281423 |
| Entity Type | Organization |
| Organization Name | KMART OF MICHIGAN INC |
| Other Organization Name | KMART PHARMACY3126 |
| Practice Address |
7601 23 Mile Rd Shelby Township MI 48316-4425 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5867394200 |
| Practice Fax Number | 5867396412 |
| 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 |
5301004944 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2041164 | 01 | |
| MI | 2528741 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3126 | Doing Business As Name - Organization |
| 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 |
| Street Address |
7601 23 MILE RD |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48316-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447575899 | Kevin P Mcdonald | Pharmacist | 7601 23 Mile Rd, Shelby Township, MI 48316-4425 | 2010-03-29 |
| 1275969800 | Kenneth Grijak | Pharmacist | 7601 23 Mile Rd, Shelby Township, MI 48315-5571 | 2013-09-14 |
| 1164732533 | Swarup Patel | Pharmacist | 7601 23 Mile Rd, Shelby Township, MI 48316-4425 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
| 1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
| 1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
| 1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
| 1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
| Find all providers in zip 48316 | ||||
| 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 |
|---|---|---|---|---|
| 1699208538 | Rt-care, LLC | Pharmacy | 14202 Lakeside Blvd N Ste A, Shelby Township, MI 48315-6073 | 2017-04-07 |
| 1144524034 | Shelby Creek Pharmacy LLC | Pharmacy | 8180 26 Mile Rd Ste 103, Shelby Township, MI 48316-5129 | 2011-01-06 |
| 1407956840 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 53069 Van Dyke, Shelby Township, MI 48316 | 2006-09-25 |
| 1871698266 | Krish Pharmacy Inc | Pharmacy | 50505 Schoenherr Rd Ste 130, Ste 130, Shelby Township, MI 48315-3140 | 2006-09-13 |
| 1891897179 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 50840 Shelby Rd, Shelby Township, MI 48317-1252 | 2006-09-05 |
| 1982706271 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 13500 22 Mile Rd, Shelby Township, MI 48315-4294 | 2006-09-05 |
| 1881706737 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 2115 25 Mile Rd, Shelby Township, MI 48316-1097 | 2006-08-31 |
| 1083726939 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 15121 24 Mile Rd, Shelby Township, MI 48315-2109 | 2006-08-31 |
| 1487764007 | Costco Wholesale Corporation | Pharmacy | 45460 Market St, Shelby Township, MI 48315 | 2006-08-30 |
| 1770050759 | Zakaria LLC | Pharmacy | 54770 Mound Rd, Shelby Township, MI 48316-1706 | 2018-10-29 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48316 |
Please comment or provide details below to improve the information on KMART OF MICHIGAN INC.
| 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.