KMART (NPI# 1609239136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609239136 |
| Entity Type | Organization |
| Organization Name | KMART |
| Practice Address |
1801 W Alexis Rd Toledo OH 43613-2302 |
| Practice Telephone | 4194730206 |
| Practice Fax Number | 4194733306 |
| Mailing Telephone | 4194730206 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | MR. ANDREW BERNARD HEUER (PHARMACIST) |
| Authorized Official Telephone | 4194730206 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03109283 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124456884 | Kmart | Point of Service | 613 First National St, Ironwood, MI 49938-3329 | 2013-10-16 |
| 1669704920 | Kmart | Pharmacy | 2716 Madison Ave, Indianapolis, IN 46225-2113 | 2010-02-10 |
| 1275734972 | Kmart | Pharmacist | 10501 Pines Blvd, Pembroke Pines, FL 33026 | 2007-05-30 |
| 1902358658 | Kmart | Pharmacist | 528 W Plank Rd, Altoona, PA 16602-2802 | 2016-10-28 |
| 1669922175 | Kmart | Pharmacy | 185 Upper River Rd, Gallipolis, OH 45631-1836 | 2016-10-07 |
| 1235583782 | Kmart | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-04-21 |
| 1891149241 | Kmart | Pharmacist | 3801 Harmont Ave Ne, Canton, OH 44705-4331 | 2016-04-21 |
| 1437503083 | Kmart | Pharmacist | 210 W Mercury Blvd, Hampton, VA 23669-2513 | 2016-04-20 |
| 1891149670 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2016-04-19 |
| 1700259728 | Kmart | Pharmacy | 4715 Nine Mile Rd, Richmond, VA 23223-4908 | 2015-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KMART | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Virginia Business Entities | KMART APPAREL FASHIONS CORP. | 1209 Orange St, Wilmington, Delaware |
| Oklahoma Business Registrations | KMART APPAREL FASHIONS CORP. | Kmart, 7373 W. Side Ave, North Bergen, NJ 07047-0000 |
| Vermont Business Registrations | KMART APPAREL FASHIONS CORP. | 1209 Orange St., Wilmington, DE 19801 |
| Connecticut Business Registrations | KMART APPAREL FASHIONS CORP. | 7373 Westside Ave, North Bergen, NJ 07047 |
| Vermont Business Registrations | KMART CORPORATION | 3333 Beverly Rd., Hoffman Estates, IL 60179 |
| Oklahoma Business Registrations | KMART CORPORATION | 3100 W. Big Beaver Rd., Troy, MI 48084 |
| Massachusetts Corporations | KMART LOGISTICS SERVICES, INC. | 3100 W. Big Beaver, Troy, MI 48084 |
| Washington State Corporations | KMART OF WASHINGTON LLC | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Iowa Business Entities | KMART OPERATIONS LLC | 3333 Beverly Rd B2126b, Hoffman Estates, IL 60179 |
| Street Address |
1801 W ALEXIS RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194188953 | Kmart Pharmacy | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-03-30 |
| 1235583782 | Kmart | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-04-21 |
| 1134150295 | K Mart Corp | Pharmacy | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1386152742 | Virgena Rose Nagel | Home Health | 4326 Garden Park, Toledo, OH 43613 | 2018-01-18 |
| 1184140550 | Horizon Science Academy Toledo | Local Education Agency (LEA) | 2600 W Sylvania Ave, Suite #: 109, Toledo, OH 43613 | 2017-08-17 |
| 1356861611 | Sherese R Bonaparte | Home Health Aide | 1928 Barrows St, Toledo, OH 43613 | 2017-06-27 |
| 1962953075 | Maureen Montes | Registered Nurse | Washington Jr High School, 5700 Whitmer Dr., Toledo, OH 43613 | 2016-10-24 |
| 1427504638 | From Us To You Home Health Care Agency LLC | Home Health | 4401 Douglas Rd., Toledo, OH 43613 | 2016-08-28 |
| 1730582487 | Shamyre Lynn Garner | Social Worker | 1776 Tremainsville Road, Toledo, OH 43613 | 2014-10-08 |
| 1356788939 | John M Netwon | Home Health Aide | 4905 Roywood, Toledo, OH 43613 | 2013-05-23 |
| Find all providers in zip 43613 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747813 | Wilson James Bunton | Pharmacist | 3900 Sunforest Ct Ste 124, Toledo, OH 43623-4476 | 2019-12-11 |
| 1700305836 | Edmund Trung Bui | Pharmacist | 2127 Audubon Pl, Toledo, OH 43606-3301 | 2017-09-09 |
| 1598290140 | Kari Hens | Pharmacist | 1415 S Byrne Rd, Toledo, OH 43614-2316 | 2017-04-20 |
| 1770036576 | Ahmad Samir Sarsour | Pharmacist | 5355 Boyd St, Toledo, OH 43615-2827 | 2016-07-27 |
| 1003263492 | Joshua R Wyss | Pharmacist | 2807 Middlesex Dr, Toledo, OH 43606-3014 | 2016-05-16 |
| 1194188953 | Kmart Pharmacy | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-03-30 |
| 1598122111 | Jacob Wargacki | Pharmacist | 2109 Hughes Dr Ste 420, Toledo, OH 43606-5142 | 2016-01-27 |
| 1457718561 | Jainy Shah | Pharmacist | 1415 Oak Hill Ct Apt 59, Toledo, OH 43614-2545 | 2016-01-20 |
| 1407292139 | Lauren Koch | Pharmacist | 4325 Secor Road, Toledo, OH 43623 | 2013-05-21 |
| 1043550643 | Daniel A Devito | Pharmacist | 2109 Hughes Dr Ste 550, Toledo, OH 43606-5103 | 2013-02-20 |
| Find all providers in TOLEDO | ||||
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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.