K MART CORP (NPI# 1538190509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538190509 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY 3710 |
| Practice Address |
300 Brighton Ave Rochester PA 15074-2165 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7247752256 |
| Practice Fax Number | 7247753406 |
| 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 |
PP414371L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007503260025 | 05 | |
| PK | 2079767 | 01 | |
| PA | 1007662280154 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY 3710 | 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 |
300 BRIGHTON AVE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245272731 | Keystone Rehabilitation Systems Inc | Clinic/Center | 300 Brighton Ave, Rochester, PA 15074-2165 | 2006-06-11 |
| 1669022208 | Darby Heiland | Dietitian, Registered | 300 Brighton Ave, Rochester, PA 15074-2165 | 2019-09-16 |
| 1598278871 | Alison M Williams | Social Worker | 300 Brighton Ave, Rochester, PA 15074-2165 | 2017-11-09 |
| 1629330196 | Stephanie J Mccauley | Pharmacist | 300 Brighton Ave, Rochester, PA 15074-2165 | 2012-06-11 |
| 1770806697 | Therese A Harvey | Pharmacist | 300 Brighton Ave, Rochester, PA 15074-2165 | 2010-03-05 |
| 1962418418 | Linda Schmidt | Occupational Therapist | 300 Brighton Ave, Rochester, PA 15074-2165 | 2006-08-01 |
| 1003821711 | Carrie Booher | Occupational Therapist | 300 Brighton Ave, Rochester, PA 15074-2165 | 2006-07-30 |
| 1275562662 | Kimberly L Woodske | Physical Therapist | 300 Brighton Ave, Rochester, PA 15074-2165 | 2006-06-30 |
| 1205865698 | Paula J Conley | Physical Therapist | 300 Brighton Ave, Rochester, PA 15074-2165 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1326073602 | Adele Ruth Hathaway | Social Worker | 176 Virginia Ave, Wpic of Upmc Beaver Valley, Rochester, PA 15074 | 2006-07-12 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| Find all providers in zip 15074 | ||||
| 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 |
|---|---|---|---|---|
| 1033726807 | Portland Pharmacy Inc | Pharmacy | 1295 Portland Ave Ste 2, Rochester, NY 14621-2726 | 2020-09-25 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1902319510 | Gleason Pharmacy Services Inc | Pharmacy | 441 S State St, Rochester, IL 62563-9297 | 2017-11-06 |
| 1275057572 | Walgreen Co | Pharmacy | 3122 Monroe Ave, Rochester, NY 14618-4606 | 2017-07-28 |
| 1821468299 | Hy Vee Inc | Pharmacy | 4221 W Circle Drive Nw, Rochester, MN 55901-8878 | 2015-09-29 |
| 1659765386 | Costco Wholesale Corporation | Pharmacy | 335 Westfall Rd, Rochester, NY 14620 | 2015-03-19 |
| 1275922072 | Trillium Health, Inc. | Pharmacy | 170 Science Pkwy, Rochester, NY 14620-4251 | 2015-01-16 |
| 1891109179 | New Clinton Pharmacy LLC | Pharmacy | 360 Saint Paul St, Rochester, NY 14605-1745 | 2014-06-16 |
| 1336586668 | University of Rochester | Pharmacy | 601 Elmwood Ave Rm 2-5425, Rochester, NY 14642-0001 | 2013-05-28 |
| Find all providers in ROCHESTER | ||||
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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.