K MART CORP (NPI# 1235160391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235160391 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4937 |
| Practice Address |
1470 N Bridge St Chillicothe OH 45601-4101 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7407738402 |
| Practice Fax Number | 7407790598 |
| 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 |
02-0141100 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2075428 | 01 | |
| OH | 0990601 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4937 | 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 |
1470 N BRIDGE ST |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164779914 | Leigh Yates | Pharmacist | 1470 N Bridge St, Chillicothe, OH 45601-4101 | 2012-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| 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 |
|---|---|---|---|---|
| 1679763346 | Mrx Enterprises, Inc. | Pharmacy | 2535 Western Ave, Chillicothe, OH 45601 | 2007-07-30 |
| 1396848065 | Highland Park Cvs, L.L.C. | Pharmacy | 603 S 4th St, Chillicothe, IL 61523-2267 | 2006-09-07 |
| 1942303599 | Ohio Cvs Stores LLC | Pharmacy | 885 N Bridge St, Chillicothe, OH 45601-1704 | 2006-09-07 |
| 1801999552 | Ohio Cvs Stores LLC | Pharmacy | 11 Centennial Blvd, Chillicothe, OH 45601-1187 | 2006-09-07 |
| 1144332149 | Medicine Shoppe | Pharmacy | 600 Park Ln, Park Center Shopping Center, Chillicothe, MO 64601-1566 | 2006-08-31 |
| 1437164480 | Walgreen Co | Pharmacy | 850 N Bridge St, Chillicothe, OH 45601-1702 | 2006-07-29 |
| 1013547835 | Adena Pharmacy LLC | Pharmacy | 311 Caldwell St, Chillicothe, OH 45601-3332 | 2020-01-21 |
| 1326320557 | Adena Pharmacy, LLC | Pharmacy | 4439 State Route 159, Suite G40, Chillicothe, OH 45601-8207 | 2011-09-14 |
| 1437488558 | Adena Pharmacy LLC | Pharmacy | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2009-12-19 |
| 1669537080 | Andersons Drug Store Inc | Pharmacy | 160 E Main St, Chillicothe, OH 45601-2506 | 2006-12-26 |
| Find all providers in CHILLICOTHE | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
Please comment or provide details below to improve the information on K MART CORP.
| 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.