K MART CORP (NPI# 1629009725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629009725 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3194 |
| Practice Address |
635 Skyland Blvd Tuscaloosa AL 35405-3934 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 2057523504 |
| Practice Fax Number | 2057523740 |
| 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 |
105848 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1988418 | 01 | |
| AL | 100001366 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3194 | 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 |
635 SKYLAND BLVD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689906893 | Shannon Elizabeth Nichols | Pharmacist | 635 Skyland Blvd, Tuscaloosa, AL 35405-3934 | 2010-02-12 |
| 1093187494 | Robert Ashley Cook Jr. | Pharmacist | 635 Skyland Blvd, Tuscaloosa, AL 35405-3934 | 2015-10-24 |
| 1114315199 | Jordan Rae Cochran | Pharmacist | 635 Skyland Blvd, Tuscaloosa, AL 35405-3934 | 2014-12-29 |
| 1265840649 | Kimberly Cato Tyrrell | Pharmacist | 635 Skyland Blvd, Tuscaloosa, AL 35405-3934 | 2014-07-29 |
| 1942643366 | Betty Allison Mosley | Pharmacist | 635 Skyland Blvd, Tuscaloosa, AL 35405-3934 | 2013-04-16 |
| 1427370378 | George Michael Sarris | Pharmacist | 635 Skyland Blvd, Tuscaloosa, AL 35405-3934 | 2010-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1528590874 | Susan B. Miles | Registered Nurse | 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 | 2017-03-28 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1063702439 | Annette Marie Gibson | Nurse Practitioner | 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 | 2011-04-19 |
| 1790075588 | Jones Counseling and Therapeutic Services | Marriage & Family Therapist | 138-39th Street, Tuscaloosa, AL 35405 | 2011-04-13 |
| 1356513030 | Jennifer Kaye Williams | Licensed Practical Nurse | 5404 4th Ct East, Tuscaloosa, AL 35405 | 2008-04-02 |
| 1679772891 | Vijaya K Kommareddi | Internal Medicine | 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 | 2007-07-17 |
| Find all providers in zip 35405 | ||||
| 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 |
|---|---|---|---|---|
| 1245578251 | Tuscaloosa Drug 5 Points, LLC | Pharmacy | 4301 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-5185 | 2013-01-25 |
| 1568598902 | H & W Drugs East, Inc | Pharmacy | 315 15th St E, Tuscaloosa, AL 35401-3663 | 2007-02-27 |
| 1831267780 | Walgreen Co | Pharmacy | 8701 Highway 69 S, Tuscaloosa, AL 35405-8465 | 2006-11-30 |
| 1063516946 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 8700 Highway 69 S, Tuscaloosa, AL 35405-8776 | 2006-09-12 |
| 1053415935 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 4715 Rice Mine Rd Ne, Tuscaloosa, AL 35406-2648 | 2006-09-12 |
| 1063515880 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 4260 University Blvd E, Tuscaloosa, AL 35404-4404 | 2006-09-07 |
| 1073175840 | Dch Health Care Authority | Pharmacy | 701 University Blvd E Ste M04, Tuscaloosa, AL 35401-7422 | 2019-07-02 |
| 1326561424 | Walgreen Co | Pharmacy | 3206 15th St, Tuscaloosa, AL 35401-4002 | 2017-07-20 |
| 1063812337 | Jann's Pharmacy, Inc. | Pharmacy | 1825 Mcfarland Blvd N, Suite 200, Tuscaloosa, AL 35406-2251 | 2014-08-24 |
| 1447672126 | Dutch Pharmacies Inc | Pharmacy | 445 15th St E, Tuscaloosa, AL 35401 | 2014-01-14 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35405 |
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.