K MART CORP (NPI# 1588695696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588695696 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4807 |
| Practice Address |
401 Governors Pl Bear DE 19701-3032 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 3028349052 |
| Practice Fax Number | 3028349087 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
A3-0000677 | DE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2003922 | 01 | |
| DE | 0000983407 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4807 | 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 |
401 GOVERNORS PL |
| City | BEAR |
| State | DE |
| Zip Code | 19701-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801221684 | Kathryn Casey Goodwin | Pharmacist | 401 Governors Pl, Bear, DE 19701-3032 | 2013-09-11 |
| 1548674765 | Norah Karasanyi | Pharmacist | 401 Governors Pl, Bear, DE 19701-3032 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165427 | Delaware Dental Solutions LLC | Dentist | 131 Becks Woods Dr., Bear, DE 19701 | 2019-10-08 |
| 1174004345 | The Life Center Complex, Inc. | Clinic/Center | 4050 Wrangle Hill Rd, Bear, DE 19701 | 2018-08-27 |
| 1124513270 | Shanila Shagufta | Psychiatry & Neurology | 434 Roger Chaffee Sq., Bear, DE 19701 | 2018-06-29 |
| 1932614393 | Steps Center LLC | Home Health | 14 S Saint George Ter, Bear, DE 19701 | 2017-12-07 |
| 1467978205 | Ijn Health Systems, LLC | Home Health | 603 Parkman Court, Bear, DE 19701 | 2017-08-14 |
| 1992226922 | Sharon Thebe | Nurse Practitioner | 30 Printz Drive, Bear, DE 19701 | 2017-06-29 |
| 1003286287 | Prosperous, LLC | Specialist | 131 Becks Woods Drive, Bear, MD 19701 | 2015-10-01 |
| 1881075695 | Yvette Pendleton | Technician, Pathology | 30 Lotus Circle N, Bear, DE 19701 | 2015-06-17 |
| 1639574692 | Nicole Sult | Counselor | 516 Daniels Ct, Bear, DE 19701 | 2014-11-01 |
| 1528498797 | Advanced Behavior Treatment, LLC | Community/Behavioral Health | 9 Willhelen Ct, Bear, DE 19701 | 2013-11-25 |
| Find all providers in zip 19701 | ||||
| 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 |
|---|---|---|---|---|
| 1407461486 | Cph Corp | Pharmacy | 484 Bear Christiana Rd Unit 6, Bear, DE 19701-1039 | 2020-09-15 |
| 1861021362 | Willey Pharmacy, L.L.C. | Pharmacy | 3625 Wrangle Hill Rd, Bear, DE 19701-1906 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233146 | Santram Health LLC | Pharmacy | 4598 S Dupont Hwy, Camden, DE 19934-1380 | 2020-01-03 |
| 1568027084 | Focus Pharmacy | Pharmacy | 117 E Glenwood Ave, Smyrna, DE 19977-1424 | 2019-05-09 |
| 1831671932 | Greenhill Specialty Pharmacy LLC. | Pharmacy | 2500 W 4th St # 2, Wilmington, DE 19805-3367 | 2018-09-05 |
| 1962984062 | Ekantik LLC | Pharmacy | 692 N Dupont Blvd # 692, Milford, DE 19963-1002 | 2018-09-05 |
| 1730677998 | Delaware Cvs Pharmacy LLC | Pharmacy | 604 Corner Ketch Rd, Newark, DE 19711-2901 | 2018-04-24 |
| 1639537111 | Unioncare Pharmacy LLC | Pharmacy | 408 N Union St, Wilmington, DE 19805-3026 | 2016-01-29 |
| 1437495371 | Ainsley's Pharmacy LLC | Pharmacy | 3610 Miller Rd, Wilmington, DE 19802-2524 | 2012-12-21 |
| 1235474032 | Cape Rx LLC | Pharmacy | 38 Eagle Dr, Rehoboth Beach, DE 19971-1445 | 2012-12-05 |
| 1124375738 | Delaware Cvs Pharmacy LLC | Pharmacy | 1605 Telegraph Rd, Wilmington, DE 19804-4113 | 2012-08-14 |
| 1770857757 | Kapeeshwar LLC | Pharmacy | 16819 S Dupont Hwy Ste 600, Harrington, DE 19952-3192 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
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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.