KMART OPERATIONS LLC (NPI# 1982635009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982635009 |
| Entity Type | Organization |
| Organization Name | KMART OPERATIONS LLC |
| Other Organization Name | KMART PHARMACY7719 |
| Practice Address |
2308 Highway 45 N Columbus MS 39705-1745 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 6623294598 |
| Practice Fax Number | 6622401336 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-07-07 |
| 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 |
02785/01.2 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0330140 | 05 | |
| PK | 2045437 | 01 | |
| MS | 00330140 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7719 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271475 | Kmart Operations LLC | Pharmacy | 4700 2nd Ave, Kearney, NE 68847-2418 | 2006-07-06 |
| 1174554281 | Kmart Operations LLC | Pharmacy | 2821 E Main St, Russellville, AR 72802-9662 | 2006-07-06 |
| 1982635033 | Kmart Operations LLC | Pharmacy | 1425 E Highway 151, Platteville, WI 53818 | 2006-07-06 |
| 1245261395 | Kmart Operations LLC | Pharmacy | 2150 S Douglas Hwy, Gillette, WY 82718-5416 | 2006-07-06 |
| 1174554208 | Kmart Operations LLC | Durable Medical Equipment & Medical Supplies | 3180 Highway 2 West, Havre, MT 59501 | 2006-07-06 |
| 1427089416 | Kmart Operations LLC | Pharmacy | 1560 Us Highway 31 S, Manistee, MI 49660-2223 | 2006-07-06 |
| 1417988536 | Kmart Operations LLC | Pharmacy | 11 S Kingshighway St # 61, Cape Girardeau, MO 63703-5742 | 2006-07-06 |
| 1366473472 | Kmart Operations LLC | Pharmacy | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2006-07-06 |
| 1164453122 | Kmart Operations LLC | Pharmacy | 3101 Northview Dr, Elkhart, IN 46514-6748 | 2006-07-06 |
| 1912938911 | Kmart Operations LLC | Pharmacy | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KMART OPERATIONS LLC | 3333 Beverly Rd B2126b, Hoffman Estates, IL 60179 |
| Oregon Corporations, Companies and Business Names | KMART OPERATIONS LLC | 3333 Beverly Rd B2-101b, Hoffman Estates, IL 60179 |
| Washington State Corporations | KMART OPERATIONS LLC | 3333 Beverly Rd, Hoffman Est, IL 60179-0001 |
| New York State Corporations | KMART OPERATIONS LLC | 28 Liberty St., New York, Ny 10005 |
| Colorado Business Entities | Kmart Operations LLC | 3333 Beverly Road, B2-116b, Hoffman Estates, IL 60179 |
| Massachusetts Corporations | KMART OPERATIONS LLC | 3333 Beverly Rd. B2-126b, Hoffman Estates, IL 60179 |
| Indiana Business Entities | KMART OPERATIONS LLC | 3333 Beverly Rd, B2-126b, Hoffman Estates, IL 60179 |
| Street Address |
2308 HIGHWAY 45 N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| 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] |
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| 1811534829 | Milestone Pharmacy LLC | Pharmacy | 3350 Cleveland Ave # 1946, Columbus, OH 43224-3677 | 2019-12-09 |
| 1467000638 | Hrb Health Solutions | Pharmacy | 5320 E Main St Ste 700, Columbus, OH 43213-2573 | 2019-08-29 |
| 1124683826 | Ohio State University Outpatient Pharmacy | Pharmacy | 181 Taylor Avenue, Room T0354, Columbus, OH 43203-1779 | 2019-05-08 |
| 1790340404 | Ohio State University Outpatient Pharmacy | Pharmacy | 410 W 10th Ave Rm 111, Columbus, OH 43210-1240 | 2019-05-08 |
| 1912488586 | Premierx Pharmacy Inc. | Pharmacy | 4633 Morse Centre Rd, Columbus, OH 43229-6601 | 2018-08-22 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1285125161 | Westerville Road Pharmacy, LLC | Pharmacy | 2709 Westerville Rd, Columbus, OH 43224-4440 | 2018-05-25 |
| 1285158667 | Shiffa Pharmacy | Pharmacy | 2330 Morse Rd Unit D, Columbus, OH 43229-5804 | 2017-07-27 |
| Find all providers in COLUMBUS | ||||
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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.