K MART CORP (NPI# 1851322812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851322812 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3555 |
| Practice Address |
61690 Southgate Rd Cambridge OH 43725-9114 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7404327154 |
| Practice Fax Number | 7404395108 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-04 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
02-0882700 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0193660 | 05 | |
| PK | 2074012 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3555 | 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 |
61690 SOUTHGATE RD |
| City | CAMBRIDGE |
| State | OH |
| Zip Code | 43725-9114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114249489 | Adam N Mcelroy | Pharmacist | 61690 Southgate Rd, Cambridge, OH 43725-9114 | 2010-02-26 |
| 1194049155 | Michelle Leigh Carmichael | Pharmacist | 61690 Southgate Rd, Cambridge, OH 43725-9114 | 2010-03-19 |
| 1083937510 | Clayton T Mowder | Pharmacist | 61690 Southgate Rd, Cambridge, OH 43725-9114 | 2010-03-11 |
| 1972826055 | Erin M Tharp | Pharmacist | 61690 Southgate Rd, Cambridge, OH 43725-9114 | 2010-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849619 | Judith Olden | Home Health Aide | 807 N7th St., Cambridge, OH 43725 | 2020-10-19 |
| 1215419676 | Zak Harper | Student in an Organized Health Care Education/Training Program | 4245 College Hill Road, Cambridge, OH 43725 | 2018-09-02 |
| 1184133720 | Nancy Lou Mcintire | Counselor | 927 Wheeling Ave Suite 310, Cambridge, OH 43725 | 2017-09-27 |
| 1356877559 | Jane Engott | Counselor | 841 Stubenville Ave, Cambridge, OH 43725 | 2017-05-08 |
| 1316470701 | Kendra Winland | Case Management | 841 Steubenville Ave., Cambridge, OH 43725 | 2017-04-04 |
| 1609319870 | Candi Frame | Social Worker | 225 Woodlawn Ave, Cambridge, OH 43725 | 2016-11-21 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1790176758 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 503 Columbia Court, Cambridge, OH 43725 | 2015-02-12 |
| 1508257569 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 66620 Westgate Drive, Cambridge, OH 43725 | 2015-02-12 |
| 1558773432 | Altens Womens Health, LLC | Obstetrics & Gynecology | 65007 Old 21 Rd, Cambridge, OH 43725 | 2014-05-27 |
| Find all providers in zip 43725 | ||||
| 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 |
|---|---|---|---|---|
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1437299609 | Hubbard's Pharmacy, Inc | Pharmacy | 636 Race St, Cambridge, MD 21613-2351 | 2007-02-07 |
| 1952400301 | Cvs Pharmacy Inc | Pharmacy | 6 Jfk St, Cambridge, MA 02138-4909 | 2006-09-22 |
| 1063511426 | Cvs Pharmacy Inc | Pharmacy | 624 Massachusetts Ave, Cambridge, MA 02139-3307 | 2006-09-22 |
| 1093814600 | Inman Pharmacy, Inc | Pharmacy | 1414 Cambridge Street, Cambridge, MA 02139 | 2006-09-21 |
| 1659474310 | Revco Discount Drug Centers Inc | Pharmacy | 626 Sunburst Hwy, Cambridge, MD 21613 | 2006-09-07 |
| 1992808612 | Ohio Cvs Stores LLC | Pharmacy | 1116 Wheeling Ave, Cambridge, OH 43725-2508 | 2006-09-07 |
| 1578578704 | Walgreen Co | Pharmacy | 115 Garfield St N, Cambridge, MN 55008-1765 | 2006-07-29 |
| 1255346466 | Walgreen Co | Pharmacy | 625 Massachusetts Ave, Cambridge, MA 02139-3357 | 2006-07-29 |
| 1588689137 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 780 Cambridge Plz, Cambridge, MD 21613-2531 | 2006-07-13 |
| Find all providers in CAMBRIDGE | ||||
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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.