K MART CORP (NPI# 1922039080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922039080 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY7254 |
| Practice Address |
2515 S Horner Blvd Sanford NC 27332-6141 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 9197760733 |
| Practice Fax Number | 9197763925 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
09881 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2068384 | 01 | |
| NC | 0535161 | 05 | |
| NC | 0535379 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7254 | 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 |
2515 S HORNER BLVD |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235365008 | Keisha Whitt | Pharmacist | 2515 S Horner Blvd, Sanford, NC 27332-6141 | 2009-06-06 |
| 1124421490 | Stacey Hussey | Pharmacist | 2515 S Horner Blvd, Sanford, NC 27332-6141 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| 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 |
|---|---|---|---|---|
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1518466275 | Bueno Pharmacy LLC | Pharmacy | 2921 S Orlando Dr Ste 130, Sanford, FL 32773-4106 | 2018-02-08 |
| 1023535903 | Emiswet E-z LLC | Pharmacy | 4942 W State Road 46 Ste 1014, Sanford, FL 32771-9245 | 2017-08-23 |
| 1376069112 | Vaishno-devi LLC | Pharmacy | 1720 S Horner Blvd, Sanford, NC 27330-5717 | 2017-08-14 |
| 1295008704 | Health Innovations Pharmacy Inc | Pharmacy | 814 Spring Ln, Sanford, NC 27330-3437 | 2012-02-14 |
| 1013043413 | Srisai Rx Mart LLC | Pharmacy | 28 W Saginaw Rd, Sanford, MI 48657-9206 | 2007-02-27 |
| 1043314024 | Holiday Cvs LLC | Pharmacy | 3798 S Orlando Dr, Sanford, FL 32773-5614 | 2006-09-12 |
| 1053415976 | Cvs State Capital LLC | Pharmacy | 797 Main St Ste D, Sanford, ME 04073-3536 | 2006-09-12 |
| 1750484432 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1802 S Horner Blvd, Sanford, NC 27330-5839 | 2006-09-07 |
| 1841610276 | Adventist Health Systems Sunbelt Healthcare Corporation | Pharmacy | 582 Monroe Rd, Suite 1412b, Sanford, FL 32771-8821 | 2014-04-24 |
| Find all providers in SANFORD | ||||
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.