K MART CORP (NPI# 1568493534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568493534 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY7409 |
| Practice Address |
2240 Nw Tyler St Topeka KS 66608-1923 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7852337003 |
| Practice Fax Number | 7852333647 |
| Mailing Telephone | 8472862527 |
| 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 |
2-06053 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100435910A | 05 | |
| KS | 6014453815 | 05 | |
| PK | 2032040 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7409 | 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 |
2240 NW TYLER ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66608-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275865495 | Dustin Hothan | Pharmacist | 2240 Nw Tyler St, Topeka, KS 66608-1923 | 2010-02-12 |
| 1083042899 | K-mart Pharmacy 7409 | Pharmacy | 2240 Nw Tyler St, Topeka, KS 66608-1923 | 2013-10-15 |
| 1538481890 | Thomas E Doerr | Pharmacist | 2240 Nw Tyler St, Topeka, KS 66608-1923 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528081502 | Hac Inc | Pharmacy | 2210 North Tyler, Topeka, KS 66608 | 2006-07-25 |
| 1699138776 | Michelle White | Registered Nurse | 1130 N Kansas Ave, Topeka, KS 66608 | 2016-04-05 |
| 1417916149 | Dental Care Pa | Dentist | 1835 Nw Topeka Blvd, Suite 111, Topeka, KS 66608 | 2006-03-21 |
| 1568503878 | Brighton Place Corporation | Intermediate Care Facility, Mental Illness | 1301 Ne Jefferson St, Topeka, KS 66608-1118 | 2007-02-09 |
| 1053372631 | Laurel A Vogt | Family Medicine | 1130 N Kansas Ave, Topeka, KS 66608-1244 | 2006-03-31 |
| 1700274065 | Janie Peters | Nurse Practitioner | 1130 N Kansas Ave, Topeka, KS 66608-1244 | 2015-01-08 |
| 1639375439 | Soni Mathew | Family Medicine | 1130 N Kansas Ave, Topeka, KS 66608-1244 | 2007-06-27 |
| 1609949569 | Korri Lynn Phillips | Family Medicine | 1130 N Kansas Ave, Topeka, KS 66608-1244 | 2006-11-16 |
| 1619952967 | Spinal Relief Center of Kansas LLC | Chiropractor | 1232 Nw Harrison St, Topeka, KS 66608-1440 | 2005-12-09 |
| 1356725568 | Kansas Spine Center LLC | Chiropractor | 1232 Nw Harrison St, Topeka, KS 66608-1440 | 2015-07-17 |
| Find all providers in zip 66608 | ||||
| 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 |
|---|---|---|---|---|
| 1225124357 | Stormont Vail, Inc. | Pharmacy | 2252 Sw 10th Ave, Topeka, KS 66604-3929 | 2006-10-05 |
| 1891809877 | Highland Park Pharmacy Inc | Pharmacy | 1244 Se 27th St, Topeka, KS 66605-1414 | 2006-08-18 |
| 1598770810 | Walgreen Co | Pharmacy | 1001 Sw Gage Blvd, Topeka, KS 66604-1700 | 2006-07-29 |
| 1871508192 | Walgreen Co | Pharmacy | 1001 Sw Topeka Blvd, Topeka, KS 66612-1601 | 2006-07-29 |
| 1962417287 | Walgreen Co | Pharmacy | 3696 Sw Topeka Blvd, Topeka, KS 66611-2373 | 2006-07-29 |
| 1407861727 | Walgreen Co | Pharmacy | 2901 Se California Ave, Topeka, KS 66605-2466 | 2006-07-29 |
| 1134140197 | Hac Inc | Pharmacy | 5311 Sw 22nd Pl, Topeka, KS 66614-1500 | 2006-07-22 |
| 1811938715 | Kansas Cvs Pharmacy LLC | Pharmacy | 2835 Sw Wanamaker Rd, Topeka, KS 66614-4267 | 2006-06-10 |
| 1083042899 | K-mart Pharmacy 7409 | Pharmacy | 2240 Nw Tyler St, Topeka, KS 66608-1923 | 2013-10-15 |
| 1609941467 | T E E M Trading Company Inc | Pharmacy | 101 N Main St, Topeka, IN 46571-0157 | 2006-11-21 |
| Find all providers in TOPEKA | ||||
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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.