KMART PHARMACY (NPI# 1104236843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104236843 |
| Entity Type | Organization |
| Organization Name | KMART PHARMACY |
| Practice Address |
1205 E Pine St Deming NM 88030-7038 |
| Practice Telephone | 5755449008 |
| Practice Fax Number | 5755444465 |
| Mailing Telephone | 5755449008 |
| Mailing Fax Number | 5755444465 |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2014-05-03 |
| Authorized Official Name | MR. AMBRISH N PATEL (PHARMACY MANAGER) |
| Authorized Official Telephone | 4053704669 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP00007752 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PHARMACY NPI NUMBER | 1619908753 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067278 | Kmart Pharmacy | Pharmacy | 161 Big Elk Mall, Elkton, MD 21921-5912 | 2016-08-05 |
| 1104270040 | Kmart Pharmacy | Pharmacist | 2965 Hemingway Lane, Lexington, KY 40513-0000 | 2016-04-18 |
| 1194188953 | Kmart Pharmacy | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-03-30 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1386057677 | Kmart Pharmacy | Pharmacy | 1284 Brice Rd, Reynoldsburg, OH 43068-2311 | 2014-06-04 |
| 1588108757 | Kmart Pharmacy | Clinic/Center | 2600 Lincoln Way E, Massillon, OH 44646-5055 | 2016-12-07 |
| 1255787008 | Kmart Pharmacy | Case Management | 404 N Marine Corps Dr, Tamuning, GU 96913-4109 | 2016-05-11 |
| 1750735007 | Kmart Pharmacy | Pharmacy | 1308 W Walnut Ave, Dalton, GA 30720-3827 | 2016-04-22 |
| 1477907954 | Kmart Pharmacy | Pharmacy | 830 W Fulton St, Waupaca, WI 54981-1406 | 2016-04-20 |
| 1366896920 | Kmart Pharmacy | Pharmacy | 2520 Nicholasville Rd, Lexington, KY 40503-3384 | 2016-04-20 |
| Street Address |
1205 E PINE ST |
| City | DEMING |
| State | NM |
| Zip Code | 88030-7038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619908753 | Kmart Operations LLC | Pharmacy | 1205 E Pine St, Deming, NM 88030-7038 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| 1437621943 | Lloyd's Water Pal Corporation | Pharmacist | 622 West First Street, Soon Other At Other : 8700 East Fourth Street, Deming, NM 88030 | 2018-12-21 |
| 1649768672 | Beatrice Kasey Jackson | Behavior Technician | 1411 S Socorro St, Deming, NM 88030 | 2018-04-25 |
| 1376062174 | Suzzana M Weber | Social Worker | 1321 E Poplar Ave, Deming, NM 88030 | 2017-09-12 |
| 1477073823 | Rocky Mountain Holdings Ll C | Ambulance | 2865 Raymond J. Reed Blvd Se, Deming, NM 88030 | 2017-06-26 |
| 1124419627 | Ambercare Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 707 E Pine St, Suite A, Deming, NM 88030 | 2015-02-05 |
| 1508288598 | Brian Plasters | Case Manager/Care Coordinator | 9025 Hwy 377 Ne, Deming, NM 88030 | 2014-01-10 |
| 1275884785 | Marcos A Reyna | Counselor | 125 Chaparral Blvd. Nw, Deming, NM 88030 | 2012-09-24 |
| 1487963831 | Juanita A. Smith | Case Manager/Care Coordinator | 901 West Hickory, Deming, NM 88030 | 2010-10-04 |
| 1659504231 | Marylou H Lozano | Case Manager/Care Coordinator | 901 West Hickory St, Deming, NM 88030 | 2009-08-28 |
| Find all providers in zip 88030 | ||||
| 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 |
|---|---|---|---|---|
| 1912425109 | Bestcare Pharmacy Deming | Pharmacy | 812 E Florida St, Deming, NM 88030-5312 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1790384261 | Mt. Cristo Pharmacy LLC | Pharmacy | 1155 Mcnutt Rd Ste 110, Sunland Park, NM 88063-9175 | 2020-10-25 |
| 1497362214 | Farmers Pharmacy Market LLC | Pharmacy | 501 W 18th St # 7233, Portales, NM 88130-7233 | 2020-09-25 |
| 1912512088 | Zia Family Health and Pharmacy | Pharmacy | 305 E Sanger St Ste F, Hobbs, NM 88240-4405 | 2020-09-15 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1730677576 | Allan Yeh | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2018-04-26 |
| 1710404355 | Del-rey Pharmacy LLC | Pharmacy | 3291 Del Rey Blvd Ste 3, Las Cruces, NM 88012-5045 | 2017-08-24 |
| 1457877425 | Dorado Sf Ltd | Pharmacy | 7 Caliente Rd, Santa Fe, NM 87508-3102 | 2017-08-21 |
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| 1922520667 | Bestcare Pharmacy Chama LLC | Pharmacy | 2215 State Road 17, #b, Chama, NM 87520 | 2017-07-14 |
| 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.