K MART CORP (NPI# 1093746141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093746141 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3415 |
| Practice Address |
1001 Hertel Ave Buffalo NY 14216-2614 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7168755272 |
| Practice Fax Number | 7168758867 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
016205 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2060284 | 01 | |
| NY | 00597833 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3415 | 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 |
1001 HERTEL AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14216-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932229135 | Ahmad Waseem | Pharmacist | 1001 Hertel Ave, Buffalo, NY 14216-2614 | 2007-03-30 |
| 1003936089 | Peter Wizner | Pharmacist | 1001 Hertel Ave, Buffalo, NY 14216-2614 | 2007-03-31 |
| 1205956232 | Jim Peters | Pharmacist | 1001 Hertel Ave, Buffalo, NY 14216-2614 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752054 | Melanie Ivette Gonzalez | Occupational Therapist | 81 Rachel Vincent Way, Buffalo, NY 14216 | 2018-12-27 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1174823298 | Kostace Leslie Kyser | Dental Hygienist | 78 Commonwealth, Buffalo, NY 14216 | 2010-10-22 |
| 1205150737 | Barbara Jane Madison | Pharmacist | 1388 Hertel Ave, Buffalo, NY 14216 | 2010-03-26 |
| 1487894317 | Melissa Ryan Trillo | Speech-Language Pathologist | 780 Parkside Ave, Buffalo, NY 14216 | 2009-03-05 |
| 1003033010 | Dan W Rajca | Pharmacist | 1001 Hertel Avenue, Buffalo, NY 14216 | 2007-04-19 |
| 1629294806 | Nikita Chandrakant Dave | Physical Medicine & Rehabilitation | 699 Hertel Ave., Industrial Medicine Office, Buffalo, NY 14216 | 2007-04-17 |
| 1437260692 | Ruth Theresa Black | Social Worker | 29 Tennyson Ave, Buffalo, NY 14216 | 2006-08-31 |
| 1033229604 | Promed Inc | Durable Medical Equipment & Medical Supplies | 350 Hinman Ave, Buffalo, NY 14216 | 2006-08-30 |
| 1457361719 | Sylvia Marzullo | Physical Therapist | 2625 Delaware Ave, Buffalo, NY 14216 | 2006-08-09 |
| Find all providers in zip 14216 | ||||
| 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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| 1548825482 | Jericho Road Ministries, Inc. | Pharmacy | 1021 Broadway Street, Buffalo, NY 14212-1460 | 2019-05-07 |
| 1548646318 | Vascuscript | Pharmacy | 644 Ellicott St Ste 104, Mobile Pharmacy Solutions, Buffalo, NY 14203-1221 | 2015-08-04 |
| 1588947709 | Walgreen Co | Pharmacy | 1002 Highway 25 N, Buffalo, MN 55313-1920 | 2011-09-23 |
| 1346439924 | Seneca Pharmacy of Wny Inc | Pharmacy | 1979 Seneca St, Buffalo, NY 14210-2352 | 2007-10-18 |
| 1326111642 | Family Pharmaceutical Services, LLC | Pharmacy | 1001 Main St Fl 2, Buffalo, NY 14203-1009 | 2006-11-16 |
| 1730264946 | Parkside Pharmacy Inc | Pharmacy | 975 Broadway St, Buffalo, NY 14212-1317 | 2006-10-26 |
| 1174617658 | Allscript Pharmacy,inc. | Pharmacy | 173 High Street, Buffalo, NY 14204 | 2006-10-02 |
| 1720187073 | Eckerd Corporation | Pharmacy | 202 W Utica St, Buffalo, NY 14222-2020 | 2006-09-22 |
| Find all providers in BUFFALO | ||||
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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.