KMART CORPORATION (NPI# 1750718524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750718524 |
| Entity Type | Organization |
| Organization Name | KMART CORPORATION |
| Practice Address |
404 Schilling Dr N Dundas MN 55019-3968 |
| Mailing Address |
760 Evergreen Dr Apt 311 Burnsville MN 55337-6658 |
| Practice Telephone | 5076455855 |
| Mailing Telephone | 2187212284 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | DR. CHIEH CHANG (PHARMACIST) |
| Authorized Official Telephone | 5076455855 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
121465 | MN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619299146 | Kmart Corporation | Pharmacy | 545 Concord Pkwy N, Concord, NC 28027-6738 | 2010-02-25 |
| 1215968276 | Kmart Corporation | Pharmacy | 190 Stadium Dr, Defiance, OH 43512-4602 | 2006-07-06 |
| 1952332066 | Kmart Corporation | Pharmacy | 2400 W 29th St, Greeley, CO 80631-8525 | 2006-07-06 |
| 1275564320 | Kmart Corporation | Pharmacy | 210 Saratoga Rd, Scotia, NY 12302-4509 | 2006-07-06 |
| 1700817707 | Kmart Corporation | Pharmacy | 2705 Parleys Way, Salt Lake City, UT 84109-1619 | 2006-07-06 |
| 1467483461 | Kmart Corporation | Pharmacy | 1547 Highway 59 S, Thief River Falls, MN 56701-3413 | 2006-07-06 |
| 1932130085 | Kmart Corporation | Pharmacy | 15 Park Ave Ste 22, Clifton Park, NY 12065-2924 | 2006-07-06 |
| 1083645048 | Kmart Corporation | Pharmacy | 2707 W Broadway St, Princeton, IN 47670-9420 | 2006-07-06 |
| 1306877428 | Kmart Corporation | Pharmacy | 175 N West State Rd, American Fork, UT 84003-1485 | 2006-07-06 |
| 1427089556 | Kmart Corporation | Pharmacy | 4855 Summit Ridge Dr, Reno, NV 89523-7936 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | KMART CORPORATION | 3333 Beverly Rd., Hoffman Estates, IL 60179 |
| Oklahoma Business Registrations | KMART CORPORATION | 3100 W. Big Beaver Rd., Troy, MI 48084 |
| Street Address |
404 SCHILLING DR N |
| City | DUNDAS |
| State | MN |
| Zip Code | 55019-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225355795 | Jon M Smestad | Pharmacist | 404 Schilling Dr N, Dundas, MN 55019-3968 | 2010-04-23 |
| 1982080032 | Michael James Heaton | Pharmacist | 404 Schilling Dr N, Dundas, MN 55019-3968 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174675359 | Epic Enterprises, Inc. | Day Training, Developmentally Disabled Services | 410 Stafford Lane, Dundas, MN 55019 | 2007-01-17 |
| 1821029828 | K Mart Corp | Pharmacy | South Highway 3, Dundas, MN 55019 | 2006-07-06 |
| 1750701272 | Timothy John Blackowikak | Licensed Practical Nurse | 212 Forest Ave N, Dundas, MN 55019-3941 | 2014-04-23 |
| 1033546767 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 396 Schilling Dr S, Dundas, MN 55019-3948 | 2013-09-26 |
| 1053520213 | Jennifer Jean Pelletier | Music Therapist | 316 Archibald Ln, Dundas, MN 55019-3949 | 2007-05-22 |
| 1548300932 | Grant Louis Modory | Chiropractor | 303 Hester St W, Dundas, MN 55019-3970 | 2007-02-07 |
| 1225218282 | Complete Chiropractic Inc | Chiropractor | 303 Hester St W, Dundas, MN 55019-3970 | 2007-11-07 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1134480841 | Minnesota Home Care, LLC | Home Health | 2741 120th St E, Dundas, MN 55019-4216 | 2012-05-30 |
| 1730434242 | Janet Levine | Registered Nurse | 2741 120th St E, Dundas, MN 55019-4216 | 2012-07-20 |
| Find all providers in zip 55019 | ||||
| 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 |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| 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.