KMART PHARMACY (NPI# 1104270040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104270040 |
| Entity Type | Organization |
| Organization Name | KMART PHARMACY |
| Practice Address |
2965 Hemingway Lane Lexington KY 40513-0000 |
| Mailing Address |
2965 Hemingway Ln Lexington KY 40513-1856 |
| Practice Telephone | 8595390485 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | DR. NATASHA PISTILLI (PHARMACY MANAGER) |
| Authorized Official Telephone | 8595390485 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 018196 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067278 | Kmart Pharmacy | Pharmacy | 161 Big Elk Mall, Elkton, MD 21921-5912 | 2016-08-05 |
| 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 |
| 1104236843 | Kmart Pharmacy | Pharmacy | 1205 E Pine St, Deming, NM 88030-7038 | 2014-05-03 |
| 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 |
2965 HEMINGWAY LANE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40513-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
| 1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
| 1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
| 1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
| 1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
| 1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
| Find all providers in zip 40513 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013571 | Andrew William Peters | Pharmacist | 301 Castor Rd Apt 104, Lexington, OH 44904-8745 | 2020-11-03 |
| 1689285033 | Breanna Danielle Ardis | Pharmacist | 2418 Augusta Hwy, Lexington, SC 29072-2216 | 2020-08-10 |
| 1437772530 | Dhrutiben Pareshbhai Patel | Pharmacist | 104 Scarborough Dr Ste C, Lexington, SC 29072-1922 | 2020-05-22 |
| 1205455987 | Michael David Deluca | Pharmacist | 3908 Laurel Oak Ln, Lexington, KY 40514-1732 | 2020-04-13 |
| 1437787561 | Dorothy Riechter | Pharmacist | 2195 Harrodsburg Rd Rm T1636, Lexington, KY 40504-3516 | 2020-04-01 |
| 1215565817 | Nancy Hudson | Pharmacist | 800 Rose Street Room 110, Lexington, KY 40546-0001 | 2020-03-30 |
| 1720611791 | Patience Nave Fort | Pharmacist | Chandler Retail Pharmacy 1000 S Limestone Room A.01.114, Lexington, KY 40536-0001 | 2020-02-19 |
| 1669012233 | William Todd Adams | Pharmacist | 399 Waller Ave Ste 110, Lexington, KY 40504-2910 | 2020-01-13 |
| 1043859069 | Von Hiten | Pharmacist | 740 South Limestone J134, Lexington, KY 40536-0001 | 2019-12-23 |
| 1790339661 | Anthony Tagavi | Pharmacist | 740 South Limestone St K-135, Lexington, KY 40536-0284 | 2019-07-30 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on KMART PHARMACY.
| 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.