K MART CORP (NPI# 1649201609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649201609 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4301 |
| Practice Address |
2200 Allentown Rd Lima OH 45805-1708 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 4192250045 |
| Practice Fax Number | 4192290192 |
| 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 |
02157300 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3634474 | 01 | |
| OH | 0507722 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4301 | 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 |
2200 ALLENTOWN RD |
| City | LIMA |
| State | OH |
| Zip Code | 45805-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564255 | Margarita Padua | Case Manager/Care Coordinator | 862 S Cable Rd, Suite B, Lima, OH 45805 | 2020-06-26 |
| 1942792908 | Misty Sommer Turner | Community/Behavioral Health | 1115 S. Sapakaneta, Lima, OH 45805 | 2018-06-05 |
| 1427545250 | Blanford Farms | Dentist | 3000 Elida Road Suite 3, Lima, OH 45805 | 2018-04-17 |
| 1639696776 | Joseph Edward Kraynok | Social Worker | 3103 W. Elm St., Lima, OH 45805 | 2017-08-29 |
| 1619424793 | Kylie Mcintyre | Speech-Language Pathologist | 1100 Shawnee Road, Lima, OH 45805 | 2016-09-06 |
| 1568810224 | Wesley Eugene Chan | Student in an Organized Health Care Education/Training Program | 1702 Allentown Road, Lima, OH 45805 | 2016-06-02 |
| 1932508637 | Olurin Olaleye | Licensed Practical Nurse | 1430 Oakland Pkwy Apt 4, Lima, OH 45805 | 2014-08-19 |
| 1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
| 1285979930 | Kelly C Stahr | Registered Nurse | 1955 Hillcrest, Lima, OH 45805 | 2012-12-06 |
| 1750641148 | Christina Renee Triplett | Marriage & Family Therapist | 1240 W. Market St, Suite 3, Lima, OH 45805 | 2012-05-21 |
| Find all providers in zip 45805 | ||||
| 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 |
|---|---|---|---|---|
| 1295378008 | Sb Pharmacy Inc | Pharmacy | 825 S Cable Rd Ste A-1, Lima, OH 45805-3467 | 2019-10-24 |
| 1174626907 | Ohio Cvs Stores LLC | Pharmacy | 2620 W Breese Rd, Lima, OH 45806-1553 | 2006-09-07 |
| 1801999636 | Ohio Cvs Stores LLC | Pharmacy | 900 Bellefontaine Ave, Lima, OH 45804-2802 | 2006-09-07 |
| 1427063460 | Walgreen Co | Pharmacy | 701 N Cable Rd, Lima, OH 45805-1737 | 2006-07-29 |
| 1972071496 | Buckeye Drugs Inc | Pharmacy | 825 S Cable Rd Ste A-1, Lima, OH 45805-3467 | 2018-11-02 |
| 1598181810 | Lima Memorial Joint Operating Company | Pharmacy | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2014-03-11 |
| 1346424389 | Walgreen Co | Pharmacy | 730 W Market St, Lima, OH 45801-4602 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335024 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 | 2020-10-30 |
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1699397646 | D & G Partners LLC | Pharmacy | 7623 E Main St, Reynoldsburg, OH 43068-1209 | 2020-05-13 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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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.