K MART CORP (NPI# 1164453205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164453205 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY9419 |
| Practice Address |
6626 Metropolitan Ave Middle Village NY 11379-1630 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7183860989 |
| Practice Fax Number | 7183861038 |
| 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 |
024510 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01994921 | 05 | |
| PK | 2058896 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY9419 | 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 |
6626 METROPOLITAN AVE |
| City | MIDDLE VILLAGE |
| State | NY |
| Zip Code | 11379-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659496172 | Helen Kitsios | Pharmacist | 6626 Metropolitan Ave, Middle Village, NY 11379-1601 | 2007-03-21 |
| 1609483940 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6626 Metropolitan Ave, Middle Village, NY 11379-1630 | 2020-09-30 |
| 1891120945 | Pa Health Inc | Pharmacy | 6626 Metropolitan Ave, Middle Village, NY 11379-1630 | 2013-09-09 |
| 1154667764 | Jewelers & Opticals Ltd | Optometrist | 6626 Metropolitan Ave, Middle Village, NY 11379-1630 | 2012-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313771 | Metro Chemists Pharmacy Inc. | Pharmacy | 73-01a Metropolitan Ave, Middle Village, NY 11379 | 2020-07-08 |
| 1063971760 | Nina Rapaport | Counselor | 63-17b Metropolitan Ave, Middle Village, NY 11379 | 2019-03-13 |
| 1275051864 | Ruo Ting Chen | Pharmacist | 7660 Metropolitan Ave, Middle Village, NY 11379 | 2017-09-02 |
| 1730618018 | Technology Testing of Ny, LLC | Technician | 7114 66 Drive, #3, Middle Village, NY 11379 | 2017-06-08 |
| 1306375662 | Vincent Pennisi | Family Medicine | 7550 Furmanville Avenue, Middle Village, NY 11379 | 2017-06-08 |
| 1700244977 | Bibi Macoon | Specialist | 63-25 Dry Harbor Road, Middle Village, NY 11379 | 2016-02-03 |
| 1588021562 | Christina Bott | Dentist | 61-02 82 St, Middle Village, NY 11379 | 2016-01-22 |
| 1518343326 | Licet Valois | Social Worker | 70-01 Metropolitan Avenue, Queens, NY 11379 | 2015-08-04 |
| 1104225002 | Resiliency Express Lcsw PC | Clinic/Center | 74-05 Metropolitan Avenue, 2nd Floor, Middle Village, NY 11379 | 2014-08-15 |
| 1710308044 | Mineola Eye Care 2 Inc | Eyewear Supplier (Equipment, not the service) | 8220 A Eliot Aveune, Middle Village, NY 11379 | 2014-01-06 |
| Find all providers in zip 11379 | ||||
| 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 |
|---|---|---|---|---|
| 1952912792 | Eliot Rx Pharmacy Inc | Pharmacy | 8218 Eliot Ave, Middle Village, NY 11379-1437 | 2020-08-14 |
| 1891313771 | Metro Chemists Pharmacy Inc. | Pharmacy | 73-01a Metropolitan Ave, Middle Village, NY 11379 | 2020-07-08 |
| 1679044648 | D&s Pharmacy LLC | Pharmacy | 6471 Dry Harbor Rd, Middle Village, NY 11379-2392 | 2018-12-16 |
| 1780903039 | Aj's Village Chemist Inc. | Pharmacy | 7405 Metropolitan Ave, Middle Village, NY 11379-2636 | 2010-05-26 |
| 1184811093 | Walgreen Co | Pharmacy | 8011 Eliot Ave, Middle Village, NY 11379-1400 | 2007-09-25 |
| 1376642603 | Genovese Drug Stores Inc | Pharmacy | 7326 Metropolitan Ave, Middle Village, NY 11379-2635 | 2006-09-22 |
| 1417051277 | Cvs Albany LLC | Pharmacy | 7960 Metropolitan Ave, Middle Village, NY 11379-2931 | 2006-09-12 |
| 1891120945 | Pa Health Inc | Pharmacy | 6626 Metropolitan Ave, Middle Village, NY 11379-1630 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLE VILLAGE |
| Zip Code | 11379 |
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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.