KMART OPERATIONS LLC (NPI# 1174550883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174550883 |
| Entity Type | Organization |
| Organization Name | KMART OPERATIONS LLC |
| Other Organization Name | KMART PHARMACY7713 |
| Practice Address |
3255 Solomons Island Rd Edgewater MD 21037-2714 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 4109560053 |
| Practice Fax Number | 4109566748 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2016-07-07 |
| 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 |
P01879 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2034977 | 01 | |
| MD | 343562800 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7713 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271475 | Kmart Operations LLC | Pharmacy | 4700 2nd Ave, Kearney, NE 68847-2418 | 2006-07-06 |
| 1174554281 | Kmart Operations LLC | Pharmacy | 2821 E Main St, Russellville, AR 72802-9662 | 2006-07-06 |
| 1982635009 | Kmart Operations LLC | Pharmacy | 2308 Highway 45 N, Columbus, MS 39705-1745 | 2006-07-06 |
| 1982635033 | Kmart Operations LLC | Pharmacy | 1425 E Highway 151, Platteville, WI 53818 | 2006-07-06 |
| 1245261395 | Kmart Operations LLC | Pharmacy | 2150 S Douglas Hwy, Gillette, WY 82718-5416 | 2006-07-06 |
| 1174554208 | Kmart Operations LLC | Durable Medical Equipment & Medical Supplies | 3180 Highway 2 West, Havre, MT 59501 | 2006-07-06 |
| 1427089416 | Kmart Operations LLC | Pharmacy | 1560 Us Highway 31 S, Manistee, MI 49660-2223 | 2006-07-06 |
| 1417988536 | Kmart Operations LLC | Pharmacy | 11 S Kingshighway St # 61, Cape Girardeau, MO 63703-5742 | 2006-07-06 |
| 1366473472 | Kmart Operations LLC | Pharmacy | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2006-07-06 |
| 1164453122 | Kmart Operations LLC | Pharmacy | 3101 Northview Dr, Elkhart, IN 46514-6748 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KMART OPERATIONS LLC | 3333 Beverly Rd B2126b, Hoffman Estates, IL 60179 |
| Oregon Corporations, Companies and Business Names | KMART OPERATIONS LLC | 3333 Beverly Rd B2-101b, Hoffman Estates, IL 60179 |
| Washington State Corporations | KMART OPERATIONS LLC | 3333 Beverly Rd, Hoffman Est, IL 60179-0001 |
| New York State Corporations | KMART OPERATIONS LLC | 28 Liberty St., New York, Ny 10005 |
| Street Address |
3255 SOLOMONS ISLAND RD |
| City | EDGEWATER |
| State | MD |
| Zip Code | 21037-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790009124 | Olufemi Olayinka Olaniyan | Pharmacist | 3255 Solomons Island Rd, Edgewater, MD 21037-2714 | 2010-03-14 |
| 1962865360 | Ilana Volansky | Pharmacist | 3255 Solomons Island Rd, Edgewater, MD 21037-2714 | 2016-04-01 |
| 1346674363 | Alexa Havrilko | Pharmacist | 3255 Solomons Island Rd, Edgewater, MD 21037-2714 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757786 | Bh Brightview South River Opco, LLC | Alzheimer Center (Dementia Center) | 8 Lee Airpark Drive, Edgewater, MD 21037 | 2019-12-12 |
| 1821568486 | Ashlee Christine Rodriguez | Social Worker | 2600 Solomons Island Rd., Edgewater, MD 21037 | 2018-11-27 |
| 1497220826 | Charlotte Lanphear | Physician Assistant | 3168 Braverton St., #340, Edgewater, MD 21037 | 2018-10-12 |
| 1134600224 | Fnu Leena Nathan | Physical Therapist | South River Health and Rehabilitation Center, 144 Washington Road, Edgewater, MD 21037 | 2018-08-27 |
| 1386163020 | Collective Transformation Health Services | Counselor | 1642 Shady Side Dr., Edgewater, MD 21037 | 2017-09-13 |
| 1780933143 | Derek Carroll Curran | Chiropractor | 137 Mitchells Chance Rd Ste 100, Edgewater, MD 21037 | 2012-08-31 |
| 1588936678 | Mark Melanson | Community Health Worker | 144 Washington Street, Edgewater, MD 21037 | 2012-02-03 |
| 1467761643 | Melvyn Paul Heyes | Social Worker | 1444 Shore Drive, Edgewater, MD 21037 | 2010-10-05 |
| 1538301486 | Lori Bennett | Physical Therapist | 3179 Braverton Street, Suite 201, Edgewater, MD 21037 | 2009-03-24 |
| 1427278605 | Patricia Ann Zwald | Registered Nurse | 140 Stepney Lane, Edgewater, MD 21037 | 2007-04-27 |
| Find all providers in zip 21037 | ||||
| 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 |
|---|---|---|---|---|
| 1255525226 | Cvs Pharmacy Inc. | Pharmacy | 1985 Sheridan Blvd, Edgewater, CO 80214-1325 | 2007-08-31 |
| 1518066968 | Maryland Cvs Pharmacy LLC | Pharmacy | 3025 Solomons Island Rd, Edgewater, MD 21037-1416 | 2006-09-22 |
| 1134223043 | Holiday Cvs LLC | Pharmacy | 1806 S Ridgewood Ave, Edgewater, FL 32132-3600 | 2006-09-12 |
| 1063427367 | Walgreen Co | Pharmacy | 3010 S Ridgewood Ave, Edgewater, FL 32141-5903 | 2006-07-29 |
| 1487608626 | Walgreen Co | Pharmacy | 3106 Solomons Island Rd, Edgewater, MD 21037-1701 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174536 | Daily Care Pharmacy | Pharmacy | 167 Jennifer Rd Ste D, Annapolis, MD 21401-7910 | 2020-11-05 |
| 1053925693 | Universal Products and Services, LLC. | Pharmacy | 1810 Crain Hwy S Unit B, Glen Burnie, MD 21061-5505 | 2020-09-01 |
| 1235751470 | Complete Wellness Pharmacy LLC | Pharmacy | 5732 Buckeystown Pike Ste 24, Frederick, MD 21704-5180 | 2020-05-11 |
| 1336774363 | Padonia Village Pharmacy | Pharmacy | 17 E Padonia Rd, Lutherville Timonium, MD 21093-2306 | 2020-03-10 |
| 1881234904 | The Pharmacia | Pharmacy | 1809 Reisterstown Rd Ste 115, Pikesville, MD 21208-6329 | 2020-01-07 |
| 1184266355 | Kent Island Pharmacy, LLC | Pharmacy | 382 Thompson Creek Mall, Stevensville, MD 21666-2593 | 2019-10-09 |
| 1730720624 | Tidewater Drug and Health Care | Pharmacy | 30170 Three Notch Rd Unit B, Charlotte Hall, MD 20622-4119 | 2019-10-02 |
| 1598312654 | Alsbiz Group Inc. | Pharmacy | 602 Cherry Hill Rd, Baltimore, MD 21225-1229 | 2019-08-23 |
| 1356997407 | Well-rx LLC | Pharmacy | 10151 York Rd Ste 105-106, Cockeysville, MD 21030-3314 | 2019-08-14 |
| 1184277279 | The Pharmacy At, Inc | Pharmacy | 524 E Belvedere Ave Ste A, Baltimore, MD 21212-3701 | 2019-07-18 |
| 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.