KMART OF WASHINGTON LLC (NPI# 1043564040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043564040 |
| Entity Type | Organization |
| Organization Name | KMART OF WASHINGTON LLC |
| Practice Address |
3333 Beverly Rd Bc 259 Aa Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8472863382 |
| Practice Fax Number | 8472861603 |
| Mailing Telephone | 8472863382 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | GHASSAN HOURANI (VP/GMM PHARMACY ADMIN) |
| Authorized Official Telephone | 8472863382 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124059258 | Kmart of Washington LLC | Pharmacy | 1414 72nd St E, Tacoma, WA 98404-3307 | 2006-07-06 |
| 1215968342 | Kmart of Washington LLC | Pharmacy | 4141 Martin Way E, Lacey, WA 98516-5351 | 2006-07-06 |
| 1760413892 | Kmart of Washington LLC | Pharmacy | 13200 Aurora Ave N, Seattle, WA 98133-7509 | 2006-07-06 |
| 1689605719 | Kmart of Washington LLC | Pharmacy | 2711 Ne Andresen Rd, Vancouver, WA 98661-7317 | 2006-07-06 |
| 1942231071 | Kmart of Washington LLC | Pharmacy | 32165 State Route 20, Oak Harbor, WA 98277-3774 | 2006-07-06 |
| 1033140165 | Kmart of Washington LLC | Pharmacy | 1201 Nw Louisiana Ave, Chehalis, WA 98532-1816 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KMART OF WASHINGTON LLC | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Street Address |
3333 BEVERLY RD BC 259 AA |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60179-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053436006 | Cynthia Rae Logan | Optometrist | 3333 Beverly Rd, Sears Optical, Hoffman Estates, IL 60179-0001 | 2007-03-20 |
| 1043668668 | Transform Km Operations LLC | Pharmacy | 3333 Beverly Rd, Hoffman Estates, IL 60179-0001 | 2016-05-25 |
| 1104170190 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 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 |
| 1194999847 | Kmart Corporation | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Ac388b, Hoffman Estates, IL 60179-0001 | 2008-04-14 |
| 1437354008 | Dale J Purvis | Nursing Home Administrator | 3333 Beverly Rd, Hoffman Estates, IL 60179-0001 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295041341 | Transform Km LLC | Pharmacy | 3333 Beverly Rd # Bc260a, Hoffman Estates, IL 60179-0001 | 2010-08-27 |
| 1720214315 | Jennifer Speares Lehman | Pharmacist | 3333 Beverly Rd # Bc259a, Hoffman Estates, IL 60179-0001 | 2009-06-09 |
| 1679511109 | Transform Km Stores of Illinois LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Road Fc-419b, Hoffman Estates, IL 60179-0001 | 2006-06-04 |
| 1376897991 | Transform Km Stores of Illinois LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd # Bc260a, Hoffman Estates, IL 60179-0001 | 2012-11-05 |
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629514989 | Premier Specialty Infusion LLC | Pharmacy | 2401 Hassell Rd Ste 1525, Suite #1525, Hoffman Estates, IL 60169-2000 | 2017-01-10 |
| 1912251299 | Meds 2 You LLC | Pharmacy | 2500 W Higgins Rd Ste 1160, Hoffman Estates, IL 60169-7240 | 2012-11-07 |
| 1295041341 | Transform Km LLC | Pharmacy | 3333 Beverly Rd # Bc260a, Hoffman Estates, IL 60179-0001 | 2010-08-27 |
| 1578609186 | Amar Pharmacy Inc | Pharmacy | 2500 W Higgins Rd Ste 450, Hoffman Estates, IL 60169-7208 | 2007-01-30 |
| 1356825483 | St. Alexius Medical Center | Pharmacy | 1555 Barrington Rd Bldg 1, Hoffman Estates, IL 60169-1099 | 2018-09-25 |
| 1396083408 | Meds 2 You, LLC | Pharmacy | 2500 W Higgins Rd, Suite 1160, Hoffman Estates, IL 60169-7220 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702549 | Aster Pharmacy LLC | Pharmacy | 9213 Waukegan Rd, Morton Grove, IL 60053-2102 | 2020-05-27 |
| 1568083301 | Pointcore, Inc. | Pharmacy | 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 | 2020-05-04 |
| 1336768001 | Mhg Pharmacy Services, LLC | Pharmacy | 2923 N California Ave Ste 240, Chicago, IL 60618-7702 | 2020-04-13 |
| 1184258824 | Metropolitian Austin Outpatient Pharmacy LLC | Pharmacy | 645 S Central Ave Ste 1, Chicago, IL 60644-5059 | 2020-03-02 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1720624521 | Affinity Pharmacy Care LLC | Pharmacy | 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 | 2019-11-27 |
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1346886512 | Value Plus Pharmacy LLC | Pharmacy | 457 W Liberty St, Wauconda, IL 60084-2452 | 2019-11-22 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60179 |
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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.