K MART CORP


Address: 1602 W Brandon Blvd, Brandon, FL 33511-4808
Phone: 8136850871

K MART CORP (NPI# 1578594685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578594685
Entity Type Organization
Organization Name K MART CORP
Other Organization Name KMART PHARMACY4311
Practice Address 1602 W Brandon Blvd
Brandon
FL 33511-4808
Mailing Address 3333 Beverly Rd
Ac 367 B
Hoffman Estates
IL 60179-0001
Practice Telephone 8136850871
Practice Fax Number 8136553864
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PH6111 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 103383200 05
PK 2008444 01

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY4311 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1602 W BRANDON BLVD
City BRANDON
State FL
Zip Code 33511-4808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336455856 Wendy Sibrey Johnson Pharmacist 1602 W Brandon Blvd, Brandon, FL 33511-4808 2010-08-21
1245666312 Kecia Porter Pharmacist 1602 W Brandon Blvd, Brandon, FL 33511-4808 2013-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295367555 Ability Beyond Measures LLC. Clinic/Center 2705 Isabella Valley Court, Brandon, FL 33511 2020-02-05
1831744655 Brandon Modern Dentistry, Pa Dentist 971 E. Bloomingdale Avenue, Brandon, FL 33511 2019-08-08
1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1841842895 Rebecca Harrelson Counselor 915 Oakfield Drive, Suite E, Brandon, FL 33511 2019-07-10
1043779713 Cheryl Diane Hart Nurse Practitioner 888 S Parsons Ave., Brandon, FL 33511 2019-03-13
1306303177 Paula J Buchwald Nurse Practitioner 888 S. Parsons Ave, Brandon, FL 33511 2019-02-27
1063993996 Ashlee Marie Shevchenko Speech-Language Pathologist 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 2018-08-28
1275023012 Ava Cares, LLC Assisted Living Facility 3005 Bell Shoals Rd., Brandon, FL 33511 2018-05-17
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
1760982987 Suresh Lama Tamang Counselor 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 2018-02-14
Find all providers in zip 33511

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114449287 Family Drug Mart of Brandon, LLC Pharmacy 212 E Government St, Brandon, MS 39042-3152 2017-07-11
1194119875 H&o Specialty Pharmacy LLC Pharmacy 500 Vonderburg Dr Ste 113w, Brandon, FL 33511-5969 2015-03-20
1942587787 Freds Stores of Tennessee Inc Pharmacy 1898 Spillway Rd, Brandon, MS 39047-6063 2011-11-08
1295013530 Northeast Pharmaceuticals, Inc. Pharmacy 608 Marquette Road, Brandon, MS 39042 2011-08-03
1699079756 Balaji Pharma LLC Pharmacy 162 N Parsons Ave, Brandon, FL 33510 2011-01-04
1316261035 Alpha Drug Inc Pharmacy 1450 Oakfield Dr, Brandon, FL 33511-4853 2010-03-24
1811221385 Gudoc Pharmacy Pllc Pharmacy 106 S Parsons Ave, Brandon, FL 33511-5225 2009-09-30
1972743573 Choice Pharmacy #002 Pharmacy 401 S Parsons Ave, Suite C, Brandon, FL 33511-5292 2009-02-23
1255547915 F & B Drugs Inc Pharmacy 209 S Moon Avenue, Brandon, FL 33511 2007-05-16
1568532679 Bill's Prescription Center, Inc. Pharmacy 202 E Brandon Blvd, Brandon, FL 33511-5221 2006-11-08
Find all providers in BRANDON

Competitor

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City BRANDON
Zip Code 33511

Improve Information

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Dataset Information

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.

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