KMART STORES OF IL LLC 3105 (NPI# 1699109496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699109496 |
| Entity Type | Organization |
| Organization Name | KMART STORES OF IL LLC 3105 |
| Practice Address |
2901 E Lincolnway Sterling IL 61081-1780 |
| Practice Telephone | 8156265862 |
| Mailing Telephone | 8156265862 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | MR. RONALD SCHWEIHS (PDM) |
| Authorized Official Telephone | 8156265862 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
========= | IL | Suppliers |
| Street Address |
2901 E LINCOLNWAY |
| City | STERLING |
| State | IL |
| Zip Code | 61081-1780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902837065 | Kmart Stores of Illinois LLC | Pharmacy | 2901 E Lincolnway, Sterling, IL 61081-1780 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
| 1043736473 | Miranda Foster | Dentist | 415 Locus St, Ste A, Sterling, IL 61081 | 2017-08-17 |
| 1740614320 | Wesley Alfred Vermies | Pharmacist | 2901 E. Fourth St, Sterling, IL 61081 | 2013-08-30 |
| 1285974311 | Occupational Health Services 1 | Clinic/Center | 4204 E Lincolnway Ave., Suite D, Sterling, IL 61081 | 2013-02-27 |
| 1912259185 | James S. Ferris, D.d.s., P.C. | Durable Medical Equipment & Medical Supplies | 2000 N Locust St Ste. B, Sterling, IL 61081 | 2012-10-11 |
| 1801148127 | Sauk Valley Physical Therapy, Inc. | Clinic/Center | 4204 E Lincolnway Ave, Suite D, Sterling, IL 61081 | 2012-10-10 |
| 1447534938 | Kayla Elizabeth Roth | Physical Therapist | 4204 East Lincolnway Avenue, Suite D, Sterling, IL 61081 | 2011-10-04 |
| 1912217951 | Ajay Katiyar | Optometrist | 4304 E Lincolnway Ave, Sterling, IL 61081 | 2010-10-08 |
| 1083851000 | Donald Francis Kurten | Dentist | 2000 N. Locust, Suite D, Sterling, IL 61081 | 2009-01-13 |
| 1841462306 | Steven Eric Carlson | Chiropractor | 2317 E Lincolnway Ste B, Sterling, IL 61081 | 2008-03-25 |
| Find all providers in zip 61081 | ||||
| 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 |
|---|---|---|---|---|
| 1720456718 | Loudoun Pharmacy | Pharmacy | 23590 Overland Dr Ste 130, Sterling, VA 20166-4442 | 2015-09-08 |
| 1184832784 | Virginia Cvs Pharmacy LLC | Pharmacy | 45130 Columbia Pl, Sterling, VA 20166-2500 | 2007-05-18 |
| 1346350972 | Costco Wholesale Corporation | Pharmacy | 21398 Price Cascades Plz, Sterling, VA 20164 | 2006-08-30 |
| 1073535753 | Virginia Cvs Pharmacy LLC | Pharmacy | 46201 Potomac Run Plz, Sterling, VA 20164-6609 | 2006-07-24 |
| 1972545168 | Highland Park Cvs LLC | Pharmacy | 2301 N Locust St, Sterling, IL 61081-1219 | 2006-06-12 |
| 1902324353 | Walgreen Co | Pharmacy | 46965 Cedar Lake Plz, Sterling, VA 20164-8653 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KMART STORES OF IL LLC 3105.
| 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.