K MART CORP


Address: 12171 Parkfield Drive, Forest Park, OH 45240
Phone: 5136717240

K MART CORP (NPI# 1275564239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275564239
Entity Type Organization
Organization Name K MART CORP
Other Organization Name KMART PHARMACY7753
Practice Address 12171 Parkfield Drive
Forest Park
OH 45240
Mailing Address 3333 Beverly Rd
Ac 367 B
Hoffman Estates
IL 60179-0001
Practice Telephone 5136717240
Practice Fax Number 5136717874
Enumeration Date 2006-07-06
Last Update Date 2008-10-10
Authorized Official Name ROBBERT AYSHFORD (DIRECTOR OF PHARMACY ADMINISTRATION)
Authorized Official Telephone 8472868242
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
02337750 OH Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0499714 05
NCPDP PROVIDER IDENTIFICATION NUMBER 3639854 01

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY7753 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 12171 PARKFIELD DRIVE
City FOREST PARK
State OH
Zip Code 45240

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538760970 Shirley Odessa Hairston Home Health 1802 Fallbrook Lane, Cincinnati, OH 45240 2020-11-03
1316559263 Big H Home Health Care Home Health Northland Blvd, Cincinnati, OH 45240 2020-08-21
1437667912 May Austin Respite Care 11444 Farmington Rd, Cincinnati, OH 45240 2018-01-18
1952815490 Joyce Kerobo Licensed Practical Nurse 1014 Holderness Ln, Cincinnati, OH 45240 2017-11-20
1912429416 Guselyn Beatrice Bobb In Home Supportive Care 12052 Deerhorn Drive, Cincinnati, OH 45240 2017-07-17
1164962239 Amber Haynes Counselor 1570 Jonquilmeadow Dr, Cincinnati, OH 45240 2017-03-08
1215477039 Ayele Ahouefa Lawson Licensed Practical Nurse 962 Glasgow Drive, Cincinnati, OH 45240 2017-02-27
1710365937 Affordable Dentures - Forest Park, Mark A. Meclosky, Dds, Inc. Dentist 1173 Smiley Avenue, Cincinnati, OH 45240 2015-05-07
1720476658 Medical Staffing Network Nursing Care 1388 Waycross Rd Apt B, Cincinnati, OH 45240 2014-12-30
1316351877 Mirabel Owie Obi Licensed Practical Nurse 591 Ashburn Rd # A, Cincinnati, OH 45240 2014-06-12
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700186582 A&j Pharmacy Inc. Pharmacy 4645 Jonesboro Rd Ste H, Forest Park, GA 30297-3528 2010-10-27
1073135893 Saigon Pharmacy LLC Pharmacy 1165 Main St, Forest Park, GA 30297-1443 2020-05-14
1558767731 Kayton Pharmacy LLC Pharmacy 541 Forest Pkwy, Suite 4, Forest Park, GA 30297-6144 2014-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295335024 Hux Enterprises Pharmacy 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 2020-10-30
1891302626 Uc Healthcare System Pharmacy 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 2020-09-25
1619580966 Lcrg Bros LLC Pharmacy 7584 E Main St, Reynoldsburg, OH 43068-1208 2020-08-26
1528686763 Lorain Chemists Inc Pharmacy 3815 Lorain Ave, Cleveland, OH 44113-3710 2020-07-13
1699397646 D & G Partners LLC Pharmacy 7623 E Main St, Reynoldsburg, OH 43068-1209 2020-05-13
1992325567 The Kroger Co Pharmacy 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 2020-04-23
1689200461 Cross Point Pharmacy Pharmacy 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 2020-03-12
1245870864 Bravo Rx Pharmacy Pharmacy 4125 W Broad St # B, Columbus, OH 43228-1600 2020-01-11
1235777350 Tan Thai Inc Pharmacy 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 2019-12-19
1144868597 Blanchard Valley Regional Health Center Pharmacy 930 Sheriden Dr Ste C, Carey, OH 43316-1502 2019-12-17
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Competitor

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City FOREST PARK
Zip Code 45240

Improve Information

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Dataset Information

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.

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