KMART OPERATIONS LLC (NPI# 1033140090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033140090 |
| Entity Type | Organization |
| Organization Name | KMART OPERATIONS LLC |
| Other Organization Name | KMART PHARMACY7736 |
| Practice Address |
1005 E Columbus St Kenton OH 43326-1679 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 4196730003 |
| Practice Fax Number | 4196739389 |
| 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 |
020821250 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0122405 | 05 | |
| PK | 2073701 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7736 | 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 |
| 1982635009 | Kmart Operations LLC | Pharmacy | 2308 Highway 45 N, Columbus, MS 39705-1745 | 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 |
| 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 |
| Ohio Business Entities | KMART OPERATIONS LLC | 3333 Beverly Road, Corporate Secretary, Hoffman Estates, IL 60179 |
| Street Address |
1005 E COLUMBUS ST |
| City | KENTON |
| State | OH |
| Zip Code | 43326-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154643930 | Franklin W Fox | Pharmacist | 1005 E Columbus St, Kenton, OH 43326-1679 | 2010-02-22 |
| 1265756134 | Merrilee T Rogers | Pharmacist | 1005 E Columbus St, Kenton, OH 43326-1679 | 2010-03-22 |
| 1366765620 | Randall E Casper | Pharmacist | 1005 E Columbus St, Kenton, OH 43326-1679 | 2010-03-01 |
| 1851575286 | Kmart Pharmacy # 7736 | Clinical Medical Laboratory | 1005 E Columbus St, Kenton, OH 43326-1679 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660337 | Tyler Shafer | Licensed Practical Nurse | 440 Center Street, Kenton, OH 43326 | 2018-02-27 |
| 1669981379 | Megan Renee Webb | Specialist/Technologist | 8140 County Road 215, Kenton, OH 43326 | 2017-09-26 |
| 1336665926 | Gwilym Stumpp | Physical Therapist | 1121 W Lima St., Kenton, OH 43326 | 2017-08-16 |
| 1700308152 | Shelby Ruhlen | Counselor | 775 E Eliza St, Kenton, OH 43326 | 2017-07-07 |
| 1730530247 | Sheri Singer | Pharmacist | 931 Franklin Street, Kenton, OH 43326 | 2016-06-27 |
| 1356744007 | Kathie J Phillips | Massage Therapist | 918 West Franklin St, Kenton, OH 43326 | 2014-10-08 |
| 1831386143 | Assisted Living Concepts Inc | Assisted Living Facility | 825 Richard Lane, Kenton, OH 43326 | 2007-10-01 |
| 1346390150 | Jay E Pfeiffer | Family Medicine | 15230 St Rt 309e, Kenton, OH 43326 | 2007-01-12 |
| 1811079361 | Wal-mart Stores East, Lp | Technician/Technologist | 1241 E. Columbus St., Kenton, OH 43326 | 2006-10-20 |
| 1023116100 | Megan Marie Pritchard-snyder | Optometrist | 1241 East Columbus Street, Kenton, OH 43326 | 2006-09-20 |
| Find all providers in zip 43326 | ||||
| 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 |
|---|---|---|---|---|
| 1881797587 | Ohio Cvs Stores LLC | Pharmacy | 987 E Columbus St, Kenton, OH 43326-1650 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
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| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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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.