KMART3425 (NPI# 1285012138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285012138 |
| Entity Type | Organization |
| Organization Name | KMART3425 |
| Practice Address |
5636 Us Route 60 Huntington WV 25705-2148 |
| Practice Telephone | 3047362098 |
| Mailing Telephone | 3047362098 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | TIMOTHY LEE BAKER (STAFF PHARMACIST) |
| Authorized Official Telephone | 6069209933 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | RP0007348 | WV | Suppliers |
| Street Address |
5636 US ROUTE 60 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25705-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003272352 | Sears Holdings | General Acute Care Hospital | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-12-31 |
| 1376922567 | Timothy Lee Baker | Pharmacist | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-05-21 |
| 1932130069 | K Mart Corp | Pharmacy | 5636 Us Route 60, Huntington, WV 25705-2148 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664010 | Jessica Ann Richmond | Pharmacist | 3333 Us-60, Huntington, WV 25705 | 2020-09-18 |
| 1407418718 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 3377 60 E, Huntington, WV 25705 | 2019-07-08 |
| 1508347238 | Catherine Lea Chapman | Family Medicine | 1530 Norway Ave - Mildred Mitchel Bateman Hospital, Huntington, WV 25705 | 2018-08-21 |
| 1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
| 1407358120 | Sara Megan Hensley | Registered Nurse | 4 Rujon Dr, Huntington, WV 25705 | 2018-03-08 |
| 1104332329 | Brenda Joyce Lemaster | Technician | 5226 Irwin Road, Huntington, WV 25705 | 2017-12-26 |
| 1750824033 | Chad Butler | Pharmacist | 3377 Route 60 East, Huntington, WV 25705 | 2016-11-18 |
| 1952769549 | Tonya Lynn Holley | Nurse Practitioner | 3375 Us 60, Huntington, WV 25705 | 2016-02-10 |
| 1609262930 | Jenny Ann Kerr | Social Worker | 3375 Us Rt 60 East, Huntington, WV 25705 | 2015-04-14 |
| 1093117566 | Starlight Behavioral Health Services Inc | Community/Behavioral Health | 5315 Cherry Lawn Rd, Huntington, WV 25705 | 2014-09-16 |
| Find all providers in zip 25705 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1376039776 | Genoa Healthcare, LLC | Pharmacy | 55 Horizon Dr Ste P, Huntington, NY 11743-4436 | 2018-07-09 |
| 1902954951 | King Kullen Pharmacies Corp | Pharmacy | 50 New York Ave, Huntington, NY 11743-2199 | 2007-01-08 |
| 1457427965 | Huntington Regional Medical Park Pharmacy Inc | Pharmacy | 5170 Route 60 E, Suite 2800, Huntington, WV 25705 | 2006-11-27 |
| 1619040136 | Kroger Limited Partnership I | Pharmacy | 2718 Guilford St, Huntington, IN 46750-9701 | 2006-11-15 |
| 1982786760 | Fruth Pharmacy Inc | Pharmacy | 125 7th Ave, Huntington, WV 25701-1923 | 2006-10-20 |
| 1346255288 | Fruth Pharmacy Inc | Pharmacy | 425 Camden Rd, Huntington, WV 25704-2708 | 2006-07-29 |
| 1255346193 | Fruth Pharmacy Inc | Pharmacy | 1419 Us Route 60, Huntington, WV 25705-1654 | 2006-07-29 |
| 1215961099 | Kroger Limited Partnership I | Pharmacy | 19 7th Ave W, Huntington, WV 25701-1734 | 2006-07-10 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25705 |
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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.