K MART CORP (NPI# 1477584597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477584597 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3709 |
| Practice Address |
1675 S Pleasant Valley Rd Winchester VA 22601-4484 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5407222397 |
| Practice Fax Number | 5407222797 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | ELIZABETH ZANDER (DIRECTOR MANAGED CARE) |
| Authorized Official Telephone | 8472867661 |
| 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 |
0201002645 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008532117 | 05 | |
| PK | 2104905 | 01 | |
| VA | 8532117 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3709 | 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 |
1675 S PLEASANT VALLEY RD |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22601-4484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
| 1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
| 1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
| Find all providers in zip 22601 | ||||
| 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 |
|---|---|---|---|---|
| 1790320018 | Hometown Pharmacy of Winchester, Pllc | Pharmacy | 200 Codella Dr Ste C, Winchester, KY 40391-7101 | 2019-11-11 |
| 1396252375 | Claudia Firestone Stiebel | Pharmacy | 1110 Breckinridge Ln, Winchester, VA 22601-6709 | 2017-12-29 |
| 1912421272 | Corner Drug LLC | Pharmacy | 4 N Highland St Ste B, Winchester, KY 40391-2024 | 2017-07-28 |
| 1316047624 | Garfield Beach Cvs LLC | Pharmacy | 30736 Benton Rd, Winchester, CA 92596 | 2006-09-25 |
| 1144329442 | Cvs Pharmacy Inc | Pharmacy | 539 Main St # 545, Winchester, MA 01890-2914 | 2006-09-22 |
| 1073616702 | Virginia Cvs Pharmacy L L C | Pharmacy | 2207 Valley Ave, Winchester, VA 22601-2755 | 2006-09-07 |
| 1336242858 | Virginia Cvs Pharmacy LLC | Pharmacy | 840 Berryville Ave, Winchester, VA 22601-5914 | 2006-09-07 |
| 1336242080 | Virginia Cvs Pharmacy L L C | Pharmacy | 1379 N Frederick Pike, Winchester, VA 22603-8693 | 2006-09-07 |
| 1790895324 | Costco Wholesale Corporation | Pharmacy | 251 Front Royal Pike, Winchester, VA 22602-7319 | 2006-08-30 |
| 1053335638 | Gaunts Drug Store | Pharmacy | 1 Valley Ave., Winchester, VA 22601 | 2006-07-27 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22601 |
Please comment or provide details below to improve the information on K MART CORP.
| 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.