KMART STORES OF TEXAS LLC (NPI# 1992736995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992736995 |
| Entity Type | Organization |
| Organization Name | KMART STORES OF TEXAS LLC |
| Other Organization Name | KMART PHARMACY9325 |
| Practice Address |
655 Sunland Park Dr El Paso TX 79912-5205 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 9155849448 |
| Practice Fax Number | 9158335874 |
| 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 |
23055 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 464472 | 05 | |
| PK | 2101561 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY9325 | 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 |
| 1275564270 | Kmart Stores of Texas LLC | Pharmacy | 2440 Pablo Kisel Blvd, Brownsville, TX 78526-4095 | 2006-07-06 |
| Street Address |
655 SUNLAND PARK DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518977354 | Tara Ann Geiman | Optometrist | 655 Sunland Park Dr, Suite E-1b, El Paso, TX 79912-5205 | 2006-08-08 |
| 1679971634 | Eyemart Express LLC | Eye Bank | 655 Sunland Park Dr, Ste. E-1, El Paso, TX 79912-5205 | 2014-12-08 |
| 1861839334 | Kristy Crockett | Pharmacist | 655 Sunland Park Dr, El Paso, TX 79912-5205 | 2013-05-23 |
| 1700920543 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 655 Sunland Park Dr, Sunland Towne Centre Suite E-1, El Paso, TX 79912-5205 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on KMART STORES OF TEXAS LLC.
| 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.