K MART CORP (NPI# 1669403630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669403630 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4443 |
| Practice Address |
9401 Metcalf Ave Overland Park KS 66212-1407 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 9133815883 |
| Practice Fax Number | 9136426139 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | ELIZABETH ZANDER (DIRECTOR MANAGED CARE) |
| Authorized Official Telephone | 8472867661 |
| 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 |
2-09754 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2031310 | 01 | |
| KS | 100436070A | 05 | |
| KS | 6014453802 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4443 | 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 |
9401 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66212-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811229628 | Kathryn Grace Wilson | Pharmacist | 9401 Metcalf Ave, Overland Park, KS 66212-1407 | 2010-02-03 |
| 1306168521 | Charles H Genola | Pharmacist | 9401 Metcalf Ave, Overland Park, KS 66212-1407 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| Find all providers in zip 66212 | ||||
| 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 |
|---|---|---|---|---|
| 1841807120 | Optumrx, Inc. | Pharmacy | 6800 W 115th Street, Suite 600, Overland Park, KS 66211-9838 | 2020-09-30 |
| 1811536683 | Active Lifestyle Pharmacy LLC | Pharmacy | 7800 Foster St, Overland Park, KS 66204-2955 | 2019-12-27 |
| 1184145237 | Ge Gao | Pharmacy | 10126 W 119th St, Overland Park, KS 66213-1461 | 2017-06-29 |
| 1629448022 | Midwest Biologics, Inc. | Pharmacy | 16124 Foster St, Overland Park, KS 66085-8417 | 2015-09-29 |
| 1598850232 | Howard Stark Professional Pharmacy | Pharmacy | 5701 W 119th St Ste 125, Overland Park, KS 66209-3721 | 2006-10-04 |
| 1144327636 | Kansas Cvs Pharmacy, L.L.C. | Pharmacy | 9501 Nall Ave, Overland Park, KS 66207-2949 | 2006-09-19 |
| 1225148844 | Costco Wholesale Corporation | Pharmacy | 12221 Blue Valley Pkwy, Overland Park, KS 66213 | 2006-08-30 |
| 1417963059 | Walgreen Co | Pharmacy | 8681 W 135th St, Overland Park, KS 66223-1215 | 2006-08-01 |
| 1548282288 | Kansas Cvs Pharmacy LLC | Pharmacy | 12200 Blue Valley Pkwy, Overland Park, KS 66213-2639 | 2006-07-24 |
| 1669408050 | Hy-vee, Inc. | Pharmacy | 10118 W 119th St, Overland Park, KS 66213-1600 | 2006-06-25 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66212 |
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.