K MART CORP (NPI# 1295766293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295766293 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY4351 |
| Practice Address |
201 9th St Se Rochester MN 55904-6768 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5072813532 |
| Practice Fax Number | 5072814823 |
| 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 |
261164 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 163557300 | 05 | |
| PK | 2045948 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4351 | 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 |
201 9TH ST SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750613386 | Wasana Thompson | Pharmacist | 201 9th St Se, Rochester, MN 55904-6452 | 2010-02-07 |
| 1053702688 | Samuel Akers | Pharmacist | 201 9th St Se, Rochester, MN 55904-6768 | 2015-02-18 |
| 1902246465 | Jay Marcus Anderson | Internal Medicine | 201 9th St Se, Rochester, MN 55904-6768 | 2013-06-28 |
| 1912229741 | Yiming Jan | Pharmacist | 201 9th St Se, Rochester, MN 55904-6452 | 2010-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| 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 |
|---|---|---|---|---|
| 1033726807 | Portland Pharmacy Inc | Pharmacy | 1295 Portland Ave Ste 2, Rochester, NY 14621-2726 | 2020-09-25 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1902319510 | Gleason Pharmacy Services Inc | Pharmacy | 441 S State St, Rochester, IL 62563-9297 | 2017-11-06 |
| 1275057572 | Walgreen Co | Pharmacy | 3122 Monroe Ave, Rochester, NY 14618-4606 | 2017-07-28 |
| 1821468299 | Hy Vee Inc | Pharmacy | 4221 W Circle Drive Nw, Rochester, MN 55901-8878 | 2015-09-29 |
| 1659765386 | Costco Wholesale Corporation | Pharmacy | 335 Westfall Rd, Rochester, NY 14620 | 2015-03-19 |
| 1275922072 | Trillium Health, Inc. | Pharmacy | 170 Science Pkwy, Rochester, NY 14620-4251 | 2015-01-16 |
| 1891109179 | New Clinton Pharmacy LLC | Pharmacy | 360 Saint Paul St, Rochester, NY 14605-1745 | 2014-06-16 |
| 1336586668 | University of Rochester | Pharmacy | 601 Elmwood Ave Rm 2-5425, Rochester, NY 14642-0001 | 2013-05-28 |
| Find all providers in ROCHESTER | ||||
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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.