K MART CORP


Address: 900 Orthodox St, Philadelphia, PA 19124-3128
Phone: 2155352898

K MART CORP (NPI# 1346271319) 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) 1346271319
Entity Type Organization
Organization Name K MART CORP
Other Organization Name KMART PHARMACY 3454
Practice Address 900 Orthodox St
Philadelphia
PA 19124-3128
Mailing Address 3333 Beverly Rd
Ac 367 B
Hoffman Estates
IL 60179-0001
Practice Telephone 2155352898
Practice Fax Number 2152882814
Mailing Telephone 8472864089
Mailing Fax Number 8472861603
Enumeration Date 2006-07-06
Last Update Date 2013-08-06
Authorized Official Name ELIZABETH ZANDER (DIRECTOR MANAGED CARE)
Authorized Official Telephone 8472867661
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
PP414474L PA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007662280139 05
PK 2080861 01
PA 1007503260206 05

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY 3454 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 900 ORTHODOX ST
City PHILADELPHIA
State PA
Zip Code 19124-3128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588090203 Chong Hong Pharmacist 900 Orthodox St, Philadelphia, PA 19124-3128 2013-09-26
1396194874 National Discount Pharmacy LLC Pharmacy 900 Orthodox St, Philadelphia, PA 19124-3128 2016-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831749308 William Mark Hanna Sr. Pharmacist 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 2019-09-17
1881256451 Medical Discovery Systems, LLC Durable Medical Equipment & Medical Supplies 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 2019-07-03
1548731391 Sierra Pinkney Registered Nurse 1615 Granite St, Philadelphia, PA 19124 2018-12-05
1922507987 Xavier Sergio Henriquez Counselor 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 2018-02-06
1558881581 Isabel Cristina Castillo Hernandez Pediatrics 4500-10, Apt 201b, Philadelphia, PA 19124 2017-06-21
1952843732 Patrick Grugan Social Worker Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 2016-11-10
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1851769327 Aleka Kostouros Social Worker Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 2015-09-14
1407230378 Sara Bachani Psychiatry & Neurology 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 2015-07-10
1215327051 Alyssa Renee Kirk Counselor 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 2015-02-02
Find all providers in zip 19124

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

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1184241408 Roosevelt Pharmacy LLC Pharmacy 2600 Cottman Ave, Philadelphia, PA 19149-1301 2020-07-02
1295355428 Joe's Pharmacy Pharmacy 2401 Pennsylvania Ave Ste 1d7, Philadelphia, PA 19130-3000 2020-04-17
1114559713 Broad and Snyder Pharmacy P C Pharmacy 2108 S Broad St Fl 1, Philadelphia, PA 19145-3905 2020-02-11
1194355172 Wyoming Pharmacy LLC Pharmacy 333 E Wyoming Ave, Philadelphia, PA 19120-4434 2020-01-18
1154951267 Nextdoor Community Pharmacy Inc Pharmacy 814 1/2 N 40th St, Philadelphia, PA 19104-4802 2020-01-17
1962048678 Capsule Philadelphia LLC Pharmacy 117 S 20th St, Philadelphia, PA 19103-4606 2019-11-18
1891330031 Penncare Pharmacy Pharmacy 416 Oak Ln, Philadelphia, PA 19126-3136 2019-11-12
1043871874 Ritechoice Pharmacy V, LLC Pharmacy 5201 Haverford Ave Fl 1, Philadelphia, PA 19139-1401 2019-06-24
1366000564 Allegheny Plaza Pharmacy Pharmacy 400 W Allegheny Ave # B2, Philadelphia, PA 19133-3614 2019-06-03
1770146367 Medly Pharmacy Pa Inc. Pharmacy 1222 Walnut St, Philadelphia, PA 19107-5466 2019-04-18
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19124

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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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