K MART CORP (NPI# 1619908670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619908670 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3221 |
| Practice Address |
2960 E 10th St Jeffersonville IN 47130-5914 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8122840622 |
| Practice Fax Number | 8122884220 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-06-19 |
| Authorized Official Name | ROBBERT AYSHFORD (DIVISIONAL VICE PRESIDENT) |
| Authorized Official Telephone | 8472868242 |
| 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 |
60005809A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100294410A | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1528871 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3221 | 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 |
2960 E 10TH ST |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| 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 |
|---|---|---|---|---|
| 1558422626 | Onb Meds, Inc. | Pharmacy | 207 Sparks Ave Ste 1, Jeffersonville, IN 47130-3739 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978439 | Engleking Rx Marengo LLC | Pharmacy | 125 W Old Short St, Marengo, IN 47140-3225 | 2020-06-25 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1669095261 | Abi Westend Pharmacy | Pharmacy | 602 N High School Rd Ste A-1, Indianapolis, IN 46214-3694 | 2020-05-19 |
| 1982224911 | Apotheco Pharmacy Carmel LLC | Pharmacy | 12955 Old Meridian St Ste 102, Carmel, IN 46032-7193 | 2020-04-20 |
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1831749399 | Julie Cindric | Pharmacy | 720 Adams St Ste 100, Carmel, IN 46032-7541 | 2019-09-17 |
| 1346898889 | Milan Pharmacy Inc | Pharmacy | 1935 N Capitol Ave Ste 120, Indianapolis, IN 46202-6403 | 2019-08-28 |
| 1093361867 | Cameron Medical Outreach, Inc | Pharmacy | 306 E Maumee St Ste 106, Angola, IN 46703-2038 | 2019-08-16 |
| 1962055186 | Custom Dosing East | Pharmacy | 4319 Franklin St, Michigan City, IN 46360-7806 | 2019-07-17 |
| 1659923894 | Genoa Healthcare, LLC | Pharmacy | 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on K MART CORP.
| 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.