K MART CORP (NPI# 1679900450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679900450 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY # 9808 |
| Practice Address |
1235 N 1st St Hamilton MT 59840-3102 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 4063634367 |
| Practice Fax Number | 4063634394 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2017-01-26 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | PHA-PHR-LIC-1959 | MT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA-PHR-LIC-1959 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2142442 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY # 9808 | 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 |
1235 N 1ST ST |
| City | HAMILTON |
| State | MT |
| Zip Code | 59840-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003232984 | Robert Joseph Baars | Pharmacist | 1235 N 1st St, Hamilton, MT 59840-3102 | 2014-03-14 |
| 1164886073 | Ann Celeste Brown | Pharmacist | 1235 N 1st St, Hamilton, MT 59840-3102 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1396202461 | Glacier Counseling and Animal Assisted Therapy | Counselor | 127 W. Main Street, Signal Square Suit A, Hamilton, MT 59840 | 2019-02-26 |
| 1851806590 | Emma's House Childrens Advocacy Center | Social Worker | 800 N. 2nd Street, Hamilton, MT 59840 | 2017-12-04 |
| 1316463136 | Wilderness Medics, Inc. | Emergency Medicine | 2069 Norman Way, Hamilton, MT 59840 | 2017-08-15 |
| 1740642149 | Katherine Grace Messer | Pharmacist | 704 S 3rd St, Hamilton, MT 59840 | 2016-03-24 |
| 1659737948 | Susan Berland | Physical Therapist | 484 Old Corvallis Rd, Suite B, Hamilton, MT 59840 | 2016-01-03 |
| 1548653074 | Adrianna Claire Starck | Counselor | 400 W Main St Ste 203, Hamilton, MT 59840 | 2015-03-09 |
| 1942623178 | Irene Walters Family Psychiatry PC | Registered Nurse | 99 Marcus Street, Suite C4, Hamilton, MT 59840 | 2014-01-23 |
| 1063758126 | Bitterroot Quality Care, Inc. | Assisted Living Facility | 842 New York Ave., Hamilton, MT 59840 | 2012-12-18 |
| 1639431224 | Carleen Dawn Grussling | Social Worker | 120 Copper King Ct Ste A, Hamilton, MT 59840 | 2012-06-11 |
| Find all providers in zip 59840 | ||||
| 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 |
|---|---|---|---|---|
| 1811548746 | Scpg Alabama LLC | Pharmacy | 1508 Military St S, Hamilton, AL 35570-5006 | 2019-09-23 |
| 1245765940 | Hamilton Pharmacy, LLC | Pharmacy | 1508 Military Street S, Hamilton, AL 35570 | 2017-05-01 |
| 1336429778 | Briarwood Pharmacy Inc | Pharmacy | 2450 Kuser Rd Ste G, Hamilton, NJ 08690-3359 | 2011-08-17 |
| 1205982675 | Hamilton Pharmacy and Medical Company Inc. | Pharmacy | 1060 Whitehorse Mercerville Rd, Alexanders Twin Pharmacy, Hamilton, NJ 08610-1425 | 2007-01-26 |
| 1912067612 | Northwest Health Services, Inc. | Pharmacy | 103 E. Cross Street, Hamilton, MO 64644-0156 | 2006-12-11 |
| 1225100746 | Clark's Discount Pharmacy | Pharmacy | 1261 Military Street South, Hamilton, AL 35570 | 2006-11-14 |
| 1396827705 | Wuis Value Drugs, Inc | Pharmacy | 3416 M-40, Hamilton, MI 49419-9512 | 2006-10-19 |
| 1043302649 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2147 Hamilton Ave, Hamilton, NJ 08619-3610 | 2006-09-29 |
| 1013010834 | New Jersey Cvs Pharmacy, L.L.C. | Pharmacy | 200 Highway 33, Hamilton, NJ 08619-2542 | 2006-09-07 |
| 1427151125 | Ohio Cvs Stores LLC | Pharmacy | 28 N Brookwood Ave, Hamilton, OH 45013-1210 | 2006-09-07 |
| Find all providers in HAMILTON | ||||
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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.