KMART OF MICHIGAN INC (NPI# 1306877394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306877394 |
| Entity Type | Organization |
| Organization Name | KMART OF MICHIGAN INC |
| Other Organization Name | KMART PHARMACY4065 |
| Practice Address |
200 Capital Ave Sw Battle Creek MI 49037-8665 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 2699631569 |
| Practice Fax Number | 2699655445 |
| 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 |
5301004905 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2533222 | 05 | |
| PK | 2042018 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4065 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114353919 | Kmart of Michigan Inc | Pharmacy | 2425 S I 75 Business Loop, Grayling, MI 49738-2042 | 2013-09-25 |
| 1609984095 | Kmart of Michigan Inc | Pharmacy | 1151 S Otsego Ave # A, Gaylord, MI 49735-1789 | 2006-08-27 |
| 1760413751 | Kmart of Michigan Inc | Pharmacy | 2500 E M21, Corunna, MI 48817 | 2006-07-06 |
| 1700817780 | Kmart of Michigan Inc | Pharmacy | 19800 West Rd, Woodhaven, MI 48183-3319 | 2006-07-06 |
| 1609807692 | Kmart of Michigan Inc | Pharmacy | 6730 River Rd, Marine City, MI 48039-2284 | 2006-07-06 |
| 1538190517 | Kmart of Michigan Inc | Pharmacy | 100 E Maple Rd, Troy, MI 48083-2714 | 2006-07-06 |
| 1457382434 | Kmart of Michigan Inc | Pharmacy | 215 N Maple Rd, Ann Arbor, MI 48103-2823 | 2006-07-06 |
| 1538190525 | Kmart of Michigan Inc | Pharmacy | 710 Chicago Dr, Holland, MI 49423-3074 | 2006-07-06 |
| 1750312740 | Kmart of Michigan Inc | Pharmacy | 17580 Frazho Rd, Roseville, MI 48066-3829 | 2006-07-06 |
| 1336170323 | Kmart of Michigan Inc | Pharmacy | 2948 S State Rd, Ionia, MI 48846-9475 | 2006-07-06 |
| Street Address |
200 CAPITAL AVE SW |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49037-8665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912229170 | Brent M Jones | Pharmacist | 200 Capital Ave Sw, Suite 200, Battle Creek, MI 49037-8665 | 2010-02-15 |
| 1902151020 | John Mcmillin | Pharmacist | 200 Capital Ave Sw, Battle Creek, MI 49037-8665 | 2012-07-14 |
| 1760704662 | Patricia Berry | Pharmacist | 200 Capital Ave Sw, Battle Creek, MI 49037-8665 | 2010-02-18 |
| 1093037160 | William Joseph Fritsch | Pharmacist | 200 Capital Ave Sw, Battle Creek, MI 49037-8665 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887570 | Kenneth Edward Newland Jr. | Physical Therapist | 165 N Washinton, Battle Creek, MI 49037 | 2018-10-23 |
| 1881177566 | Mary Jo E Moore | Occupational Therapist | Battle Creek Va Medical Center, 5500 Armstrong Rd, Battle Creek, MI 49037 | 2018-09-10 |
| 1255817680 | Jeremy Lynn Fuller | Nurse Practitioner | 5500 Armstron Rd, Battle Creek, MI 49037 | 2018-07-18 |
| 1043757180 | Brandee Millsap | Social Worker | 875 Washington N Ave, Battle Creek, MI 49037 | 2017-01-27 |
| 1649632944 | Amanda Marie Bean | Military Health Care Provider | 75 Phantom Ave, Battle Creek, MI 49037 | 2016-03-25 |
| 1982082574 | Heather Marie Remmert | Counselor | 155 Garfield Avenue, Battle Creek, MI 49037 | 2015-05-14 |
| 1811395445 | Catharine Cook | Counselor | 2775 W. Dickman Rd, Suite P-1, Battle Creek, MI 49037 | 2014-12-14 |
| 1790199743 | Shuyan Rofe | Dentist | 181 W. Emmett St., Battle Creek, MI 49037 | 2014-06-18 |
| 1962839951 | Amanda Hammond | Counselor | 155 Garfield Ave, Battle Creek, MI 49037 | 2013-10-04 |
| 1508103920 | Cheryl Ann Zimlich | Clinical Nurse Specialist | 5500 Armstrong Road (11c), Va Medical Center, Battle Creek, MI 49037 | 2013-01-04 |
| Find all providers in zip 49037 | ||||
| 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] |
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|---|---|---|---|---|
| 1821642992 | Siya Shiv Pharmacy LLC | Pharmacy | 629 Capital Ave Sw, Battle Creek, MI 49015-2676 | 2019-07-28 |
| 1437605326 | Speedserve Pharmacy Inc | Pharmacy | 285 North Ave, Battle Creek, MI 49017-3430 | 2016-08-30 |
| 1932310505 | Family Fare, LLC | Pharmacy | 45 Columbia Ave E, Battle Creek, MI 49015-3703 | 2007-05-25 |
| 1134691041 | Woodward Detroit Cvs LLC | Pharmacy | 10 Columbia Ave E, Battle Creek, MI 49015-3704 | 2018-12-18 |
| 1639606031 | Savemax Pharmacy LLC | Pharmacy | 231 North Ave, Battle Creek, MI 49017-3463 | 2017-05-16 |
| 1720406333 | Borgess Medical Center | Pharmacy | 3035 Capital Ave Sw, Battle Creek, MI 49015-4334 | 2014-04-01 |
| 1821138348 | Walgreen Co | Pharmacy | 605 North Ave, Battle Creek, MI 49017-3230 | 2007-02-07 |
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| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | BATTLE CREEK |
| Zip Code | 49037 |
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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.