KMART PHARMACY 3682 (NPI# 1629499660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629499660 |
| Entity Type | Organization |
| Organization Name | KMART PHARMACY 3682 |
| Practice Address |
1900 Bataan Memorial E Las Cruces NM 88011-6011 |
| Mailing Address |
3901 Sonoma Springs Ave Apt 411 Las Cruces NM 88011-7105 |
| Practice Telephone | 5755228603 |
| Practice Fax Number | 5755223419 |
| Mailing Telephone | 4053704669 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | DR. AMBRISH N PATEL (PHARMACIST) |
| Authorized Official Telephone | 4053704669 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | RP00007752 | NM | Ambulatory Health Care Facilities |
| Street Address |
1900 BATAAN MEMORIAL E |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487922985 | Cassandra R Clark | Pharmacist | 1900 Bataan Memorial E, Las Cruces, NM 88011-6011 | 2011-12-12 |
| 1114352184 | Kenneth C Okwunwanne | Pharmacist | 1900 Bataan Memorial E, Las Cruces, NM 88011-6011 | 2013-09-10 |
| 1174554216 | K Mart Corp | Pharmacy | 1900 Bataan Memorial E, Las Cruces, NM 88011-6011 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417279233 | Lisa B. Partyka, Ph.d. LLC | Clinic/Center | 4314 Tewa Ct, Las Cruces, NM 88011-4348 | 2010-02-20 |
| 1639349426 | Workmed Inc. | Clinic/Center | 2404 S. Locust, Suite #2, Las Cruces, NM 88001-8627 | 2008-03-07 |
| 1649887092 | Jacqueline Villalobos Nd LLC | Clinic/Center | 330 N Campo St, Las Cruces, NM 88001-3433 | 2020-09-29 |
| 1982225017 | Bare Nutrition LLC | Clinic/Center | 1780 E University Ave, Las Cruces, NM 88003 | 2020-04-29 |
| 1740530955 | Chiwawa Chiropractic LLC | Clinic/Center | 255 W Hadley Ave, Las Cruces, NM 88005-1806 | 2012-09-14 |
| 1699964460 | Amy O'neill D.o.m, LLC | Clinic/Center | 200 W Las Cruces Ave, Las Cruces, NM 88005-1803 | 2007-10-17 |
| 1780619411 | Ben Archer Health Center | Clinic/Center | 1600 Thorpe Rd, Las Cruces, NM 88012-9776 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
| 1649894544 | Hope Medical Services, LLC | Clinic/Center | 305 Faculty Ln, Corrales, NM 87048-8721 | 2020-06-05 |
| 1285260588 | Uptown Dermatology LLC | Clinic/Center | 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2020-03-18 |
| 1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
| 1245798024 | Lovelace Health System, Inc. | Clinic/Center | 460 Saint Michaels Dr Ste 505, Santa Fe, NM 87505-7622 | 2019-03-11 |
| 1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
| 1588136956 | Hope and Healing Counseling LLC | Clinic/Center | 5880 First St., Organ, NM 88052 | 2018-12-26 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
| 1053850784 | Olive Tree Pharmacy, Co. | Clinic/Center | 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124-4893 | 2017-02-14 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on KMART PHARMACY 3682.
| 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.