KMART STORES OF TEXAS LLC (NPI# 1902837909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902837909 |
| Entity Type | Organization |
| Organization Name | KMART STORES OF TEXAS LLC |
| Other Organization Name | KMART PHARMACY7347 |
| Practice Address |
411 N Zaragoza Rd El Paso TX 79907-4745 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 9158729802 |
| Practice Fax Number | 9158729728 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| 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 |
23053 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2092397 | 01 | |
| TX | 464462 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7347 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265463269 | Kmart Stores of Texas LLC | Pharmacy | 1405 E Expressway 83, Mission, TX 78572-6612 | 2006-07-06 |
| 1932453941 | Kmart Stores of Texas LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 1265464010 | Kmart Stores of Texas LLC | Pharmacy | 1120 Mcrae Blvd, El Paso, TX 79925-7642 | 2006-07-06 |
| 1083645089 | Kmart Stores of Texas LLC | Pharmacy | 5001 San Dario Ave, Laredo, TX 78041-5777 | 2006-07-06 |
| 1174554174 | Kmart Stores of Texas LLC | Pharmacy | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2006-07-06 |
| 1356372353 | Kmart Stores of Texas LLC | Pharmacy | 3701 N 23rd St, Mcallen, TX 78501-6007 | 2006-07-06 |
| 1447281449 | Kmart Stores of Texas LLC | Pharmacy | 1101 S Fort Hood St, Killeen, TX 76541-7451 | 2006-07-06 |
| 1538190533 | Kmart Stores of Texas LLC | Pharmacy | 11330 Montwood Dr, El Paso, TX 79936-4383 | 2006-07-06 |
| 1710918719 | Kmart Stores of Texas LLC | Pharmacy | 1400 Wildcat Dr, Portland, TX 78374-2813 | 2006-07-06 |
| 1992736995 | Kmart Stores of Texas LLC | Pharmacy | 655 Sunland Park Dr, El Paso, TX 79912-5205 | 2006-07-06 |
| Street Address |
411 N ZARAGOZA RD |
| City | EL PASO |
| State | TX |
| Zip Code | 79907-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326477761 | Olatunde Okusanya | Pharmacist | 411 N Zaragoza Rd, El Paso, TX 79907-4745 | 2013-11-06 |
| 1730552092 | Luis Alberto Finley | Pharmacist | 411 N Zaragoza Rd, El Paso, TX 79907-4745 | 2015-11-09 |
| 1407261175 | Michael Deal | Pharmacist | 411 N Zaragoza Rd, El Paso, TX 79907-4745 | 2014-06-21 |
| 1376968347 | Constanta Vladut-vasilan | Pharmacist | 411 N Zaragoza Rd, El Paso, TX 79907-4745 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942782537 | Monica Patricia Ogaz | Nurse Practitioner | 615 N Zaragoza Rd Ste 86, El Paso, TX 79907 | 2018-08-30 |
| 1881078285 | Dominion Medical Services Pllc | Family Medicine | 1030 N. Zaragoza, Suite X, El Paso, TX 79907 | 2015-07-15 |
| 1144625849 | Dezirae Senclair | Registered Nurse | 316 Granillo, El Paso, TX 79907 | 2014-10-24 |
| 1124421938 | Sweet Home Adult Day Care LLC | Clinic/Center | 8615 San Juan Lane Building 19, El Paso, TX 79907 | 2014-10-07 |
| 1689995037 | Texas Senior & Disabled Day Care, L.L.C. | Clinic/Center | 1223 N. Lee Trevino Dr., El Paso, TX 79907 | 2010-06-21 |
| 1891022323 | Alderete Enterprises LLC | Clinic/Center | 8615 San Juan, Building - 19, El Paso, TX 79907 | 2009-11-04 |
| 1376707166 | Preferred Adult Day Care Center LLC | Clinic/Center | 8825 North Loop, Suites 118-119, El Paso, TX 79907 | 2008-07-11 |
| 1154500379 | North Mesa Dental, PC | Dentist | 615 Zargoza Road, Suite 88, El Paso, TX 79907 | 2007-10-25 |
| 1700816089 | David Lynn Butterfield | Specialist/Technologist | 5932 Quail Ave, El Paso, TX 79907 | 2006-07-03 |
| 1922080118 | Alfredo Aguayo | Chiropractor | 1030 North Zaragoza, Suite O, El Paso, TX 79907 | 2005-11-15 |
| Find all providers in zip 79907 | ||||
| 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 |
|---|---|---|---|---|
| 1942862164 | Larjems Investments LLC | Pharmacy | 1568 Joe Battle Blvd Ste 107, El Paso, TX 79936-8905 | 2019-07-09 |
| 1659932267 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr. Ste 201-202, El Paso, TX 79932 | 2019-06-25 |
| 1326514233 | Amerkian,inc. | Pharmacy | 4501 Hercules Ave Ste B, El Paso, TX 79904-3310 | 2018-10-18 |
| 1023561487 | East El Paso Physicians' Medical Center, LLC | Pharmacy | 1400 George Dieter Dr Ste 190, El Paso, TX 79936-7656 | 2016-08-02 |
| 1770973406 | Pro Kima, LLC | Pharmacy | 1891 N Lee Trevino Dr Ste 200, El Paso, TX 79936-4132 | 2015-02-03 |
| 1003226093 | Wal-mart Stores Texas LLC | Pharmacy | 101 E Redd Rd, El Paso, TX 79932-1981 | 2014-04-30 |
| 1518213255 | Cvs Pharmacy Inc | Pharmacy | 1901 George Dieter Dr, El Paso, TX 79936-3855 | 2012-07-31 |
| 1861532368 | Tigua Pharmacy Inc | Pharmacy | 8269 N Loop Dr, El Paso, TX 79907-4234 | 2007-02-07 |
| 1194887349 | Alameda Thrifty Pharmacy Inc | Pharmacy | 4900 Alameda Ave, El Paso, TX 79905-2802 | 2006-12-14 |
| 1609952621 | Cvs Pharmacy Inc | Pharmacy | 745 N Zaragoza Rd, El Paso, TX 79907-4751 | 2006-10-31 |
| Find all providers in EL PASO | ||||
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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.