K MART CORP (NPI# 1629009741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629009741 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY7520 |
| Practice Address |
4000 N Goldenrod Rd Winter Park FL 32792-8999 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 4076711177 |
| Practice Fax Number | 4076711255 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | ROBBERT AYSHFORD (DIRECTOR OF PHARMACY ADMINISTRATION) |
| 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 |
PH0008480 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101935000 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1048568 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7520 | 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 |
4000 N GOLDENROD RD |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-8999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730128786 | Publix Super Markets Inc | Pharmacy | 4000 N Goldenrod Rd, Winter Park, FL 32792-8999 | 2006-06-05 |
| 1336580836 | Maria Wells Pezzoli | Pharmacist | 4000 N Goldenrod Rd, Winter Park, FL 32792-8999 | 2013-07-12 |
| 1811234446 | Johnson Do | Pharmacist | 4000 N Goldenrod Rd, Winter Park, FL 32792-8999 | 2013-01-16 |
| 1831436856 | Kate Stultz Le Fevre | Pharmacist | 4000 N Goldenrod Rd, Winter Park, FL 32792-8999 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| 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 |
|---|---|---|---|---|
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1174098800 | Guardian Pharmacy LLC | Pharmacy | 483 N Semoran Blvd Ste 109, Winter Park, FL 32792-3800 | 2018-10-09 |
| 1710388525 | Heal N Hale LLC | Pharmacy | 3090 Aloma Ave, Suite 140, Winter Park, FL 32792-3722 | 2014-09-11 |
| 1861596843 | Holiday Cvs LLC | Pharmacy | 2527 Aloma Ave, Winter Park, FL 32792-3401 | 2006-09-12 |
| 1912001892 | Holiday Cvs LLC | Pharmacy | 1510 State Road 436, Winter Park, FL 32792-1502 | 2006-09-12 |
| 1083718993 | Holiday Cvs LLC | Pharmacy | 7496 University Blvd, Winter Park, FL 32792-8883 | 2006-09-12 |
| 1083724694 | Costco Wholesale Corporation | Pharmacy | 3333 University Blvd, Winter Park, FL 32792 | 2006-08-30 |
| 1104396902 | 365 Health LLC | Pharmacy | 6804 Aloma Ave, Winter Park, FL 32792-6802 | 2018-12-05 |
| 1619354362 | Hemophilia of Florida Pharmacy, LLC | Pharmacy | 1350 Orange Ave, Suite 236, Winter Park, FL 32789-4945 | 2015-05-01 |
| 1699014415 | Hemophilia of Florida Pharmacy, LLC | Pharmacy | 1350 Orange Ave, Suite 236, Winter Park, FL 32789-4945 | 2013-02-14 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
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.