K MART CORP (NPI# 1821020678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821020678 |
Entity Type | Organization |
Organization Name | K MART CORP |
Other Organization Name | KMART PHARMACY9334 |
Practice Address |
2855 Dunn Rd Florissant MO 63033-6705 |
Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
Practice Telephone | 3149219740 |
Practice Fax Number | 3149219710 |
Mailing Telephone | 8472864089 |
Mailing Fax Number | 8472861603 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2014-10-30 |
Authorized Official Name | DAIN RUSK (VP/GM PHARMACY) |
Authorized Official Telephone | 8472863348 |
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 |
006467 | MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 603885302 | 05 | |
PK | 2047739 | 01 |
Other Name | Type Code |
---|---|
KMART PHARMACY9334 | 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 |
2855 DUNN RD |
City | FLORISSANT |
State | MO |
Zip Code | 63033-6705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295009272 | Zachary Daniel Helgen | Pharmacist | 2855 Dunn Rd, Florissant, MO 63033-6705 | 2012-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
Find all providers in zip 63033 |
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 |
---|---|---|---|---|
1578660114 | Bangert Pharmacy, Ltd. | Pharmacy | 13300 New Halls Ferry Rd, Florissant, MO 63033-3251 | 2006-09-17 |
1750396990 | Walgreen Co | Pharmacy | 3160 N Highway 67, Florissant, MO 63033-1603 | 2006-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
Find all providers with the same taxonomy |
City | FLORISSANT |
Zip Code | 63033 |
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.