K MART CORP (NPI# 1518998632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518998632 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4220 |
| Practice Address |
2821 Ne Vivion Rd Kansas City MO 64119-2515 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8164525300 |
| Practice Fax Number | 8164541541 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | DAIN RUSK (VP/GM PHARMACY) |
| Authorized Official Telephone | 8472863348 |
| 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 |
003287 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600284202 | 05 | |
| PK | 2049583 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4220 | 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 |
2821 NE VIVION RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64119-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992027601 | Daniel D Schneider | Pharmacist | 2821 Ne Vivion Rd, Kansas City, MO 64119-2515 | 2010-02-22 |
| 1881916138 | Katherine Ann Glotfelty | Pharmacist | 2821 Ne Vivion Rd, Kansas City, MO 64119-2515 | 2010-02-26 |
| 1104148717 | Marilyn Sue Baker | Pharmacist | 2821 Ne Vivion Rd, Kansas City, MO 64119-2515 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1528525219 | Lifestreams, LLC | Home Health | 5229 Ne 56th Place, Kansas City, MO 64119 | 2019-02-28 |
| 1740639798 | Daniel Sucher | Dentist | 5416 Ne Antioch Rd, Kansas City, MO 64119 | 2016-06-10 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1376929976 | Abigail Blair | Physical Therapist | 8121 Ne 69 Highway, Kansas City, MO 64119 | 2015-08-05 |
| 1508273939 | Morgan Shockey | Dentist | 244 E Us Hwy 69, Ste 101, Claycomo, MO 64119 | 2014-07-17 |
| 1184865990 | Laura F Hanna | Psychologist | 3100 Ne 83rd Street, Suite#1001, Kansas City, MO 64119 | 2009-03-09 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1356533194 | Levelup Kids, Inc. | Optometrist | 5416 Ne Antioch Road, Kansas City, MO 64119 | 2007-08-15 |
| 1275738932 | Renee Christine Springer | Physical Therapist | 2901 Ne 72nd St, Gladstone, MO 64119 | 2007-06-20 |
| Find all providers in zip 64119 | ||||
| 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 |
|---|---|---|---|---|
| 1174143309 | Central Care, Pa | Pharmacy | 8919 Parallel Pkwy Ste 250, Kansas City, KS 66112-1655 | 2020-04-17 |
| 1942829916 | Sharon Lee Family Health Care, Inc | Pharmacy | 2002 S 51st St, Kansas City, KS 66106-2419 | 2020-04-10 |
| 1588224315 | Gail Reif Inc. | Pharmacy | 2040 Hutton Rd Ste 101, Kansas City, KS 66109-4566 | 2019-06-14 |
| 1821563495 | Imans Pharmacy Inc. | Pharmacy | 2360 E 12th St Ste B, Kansas City, MO 64127-1207 | 2018-10-09 |
| 1316438658 | Brink Healthmeds | Pharmacy | 1620 East 63rd Street, Kansas City, MO 64110 | 2018-05-22 |
| 1891205829 | Humana Pharmacy Inc | Pharmacy | 301 E Armour Blvd Ste 2, Kansas City, MO 64111-1245 | 2017-10-04 |
| 1700395878 | University of Kansas Hospital Cambridge Retail Pharmacy | Pharmacy | 3825 Cambridge Street, Suite Ca 1333, Kansas City, KS 66103 | 2017-09-21 |
| 1336514140 | Riverside Pharmacy Associates, LLC | Pharmacy | 1142 Merriam Ln, Kansas City, KS 66103-1652 | 2015-12-04 |
| 1497125470 | Prescription Management Associates | Pharmacy | 4300 Brenner Dr Ste 200, Kansas City, KS 66104-1163 | 2015-10-02 |
| 1699190744 | Schneider Pharmacy LLC | Pharmacy | 9411 N Oak Trfy Ste 120, Kansas City, MO 64155-2262 | 2014-02-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64119 |
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.