KMART OF MICHIGAN INC (NPI# 1891726881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891726881 |
| Entity Type | Organization |
| Organization Name | KMART OF MICHIGAN INC |
| Other Organization Name | KMART PHARMACY3720 |
| Practice Address |
6455 Us Highway 31 N Williamsburg MI 49690-9306 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 2319381181 |
| Practice Fax Number | 2319380093 |
| 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 |
5301005155 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2040527 | 01 | |
| MI | 2577998 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3720 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114353919 | Kmart of Michigan Inc | Pharmacy | 2425 S I 75 Business Loop, Grayling, MI 49738-2042 | 2013-09-25 |
| 1609984095 | Kmart of Michigan Inc | Pharmacy | 1151 S Otsego Ave # A, Gaylord, MI 49735-1789 | 2006-08-27 |
| 1760413751 | Kmart of Michigan Inc | Pharmacy | 2500 E M21, Corunna, MI 48817 | 2006-07-06 |
| 1700817780 | Kmart of Michigan Inc | Pharmacy | 19800 West Rd, Woodhaven, MI 48183-3319 | 2006-07-06 |
| 1609807692 | Kmart of Michigan Inc | Pharmacy | 6730 River Rd, Marine City, MI 48039-2284 | 2006-07-06 |
| 1538190517 | Kmart of Michigan Inc | Pharmacy | 100 E Maple Rd, Troy, MI 48083-2714 | 2006-07-06 |
| 1457382434 | Kmart of Michigan Inc | Pharmacy | 215 N Maple Rd, Ann Arbor, MI 48103-2823 | 2006-07-06 |
| 1538190525 | Kmart of Michigan Inc | Pharmacy | 710 Chicago Dr, Holland, MI 49423-3074 | 2006-07-06 |
| 1750312740 | Kmart of Michigan Inc | Pharmacy | 17580 Frazho Rd, Roseville, MI 48066-3829 | 2006-07-06 |
| 1336170323 | Kmart of Michigan Inc | Pharmacy | 2948 S State Rd, Ionia, MI 48846-9475 | 2006-07-06 |
| Street Address |
6455 US HIGHWAY 31 N |
| City | WILLIAMSBURG |
| State | MI |
| Zip Code | 49690-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679895478 | Tobias J Osborne | Pharmacist | 6455 Us Highway 31 N, Williamsburg, MI 49690-9306 | 2010-02-19 |
| 1972996296 | Paul Alan Jensen | Pharmacist | 6455 Us Highway 31 N, Williamsburg, MI 49690-9306 | 2015-03-11 |
| 1821315938 | Joel Yale Hechtman | Pharmacist | 6455 Us Highway 31 N, Williamsburg, MI 49690-9306 | 2010-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912563479 | Trista Rosing | Student in an Organized Health Care Education/Training Program | 5423 Williamsburg Rd, Williamsburg, MI 49690 | 2019-05-10 |
| 1265802482 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 490 East M-72, Williamsburg, MI 49690 | 2015-09-30 |
| 1861891202 | Erica Jayne Beia Barker | Speech-Language Pathologist | 6501 U.S. 31 North, Williamsburg, MI 49690 | 2014-08-21 |
| 1740478601 | David May Do Pllc | Family Medicine | 3939 M-72 East #210, Williamsburg, MI 49690 | 2007-10-04 |
| 1033324546 | Antrim County Commission On Aging | Home Health | 10519 W. Us 31, Williamsburg, MI 49690 | 2007-05-10 |
| 1740337393 | Dewey Carl Benson | Family Medicine | 3877 E M72, Williamsburg, MI 49690 | 2007-01-05 |
| 1124107115 | Whitewater Township | Ambulance | 8380 Old M-72, Williamsburg, MI 49690 | 2006-11-02 |
| 1871682922 | Ruthann O'brien | Occupational Therapist | 5793 M-72 Nw, Williamsburg, MI 49690 | 2006-10-12 |
| 1538263231 | Base of The Bays Dermatology PC | Dermatology | 3950 Shore Rd, Williamsburg, MI 49690 | 2006-09-12 |
| 1972560308 | Cara C Gruber | Physical Therapist | 4480 Mt Hope Rd, Ste A, Williamsburg, MI 49690 | 2006-04-28 |
| Find all providers in zip 49690 | ||||
| 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 |
|---|---|---|---|---|
| 1538644166 | The Prescription Shoppe LLC | Pharmacy | 5223 Monticello Ave Ste C, Williamsburg, VA 23188-8236 | 2018-09-29 |
| 1336473024 | Harris Teeter, LLC | Pharmacy | 1470 Quarterpath Rd, Williamsburg, VA 23185-6500 | 2009-09-28 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1922020601 | Virginia Cvs Pharmacy LLC | Pharmacy | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2006-07-24 |
| 1811988298 | Jamestown Pharmacy Care Center | Pharmacy | 1781 Jamestown Rd, Ste 160, Williamsburg, VA 23185-2363 | 2005-11-03 |
| 1043831761 | Williamsburg Pharmacy Inc | Pharmacy | 318 E 1st St, Williamsburg, PA 16693-1006 | 2020-05-04 |
| 1811517725 | Windham Drug North, Inc | Pharmacy | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2020-04-21 |
| 1245637529 | Hartig Drug Co Corp | Pharmacy | 517 Court Street, Williamsburg, IA 52361 | 2014-12-02 |
| 1861528499 | Williamsburg Pharmacy Inc | Pharmacy | 327 Main St, Williamsburg, KY 40769-1123 | 2007-02-26 |
| 1477688646 | Whitley Pharmacy, Inc. | Pharmacy | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2007-02-21 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 49690 |
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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.