K MART CORP (NPI# 1346271491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346271491 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3534 |
| Practice Address |
1275 Bell Ave Hartford WI 53027-1976 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 2626737339 |
| Practice Fax Number | 2626730965 |
| 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 |
7189-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2115196 | 01 | |
| WI | 33183800 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3534 | 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 |
| Street Address |
1275 BELL AVE |
| City | HARTFORD |
| State | WI |
| Zip Code | 53027-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548592884 | David George Ley | Pharmacist | 1275 Bell Ave, Hartford, WI 53027-1976 | 2010-02-11 |
| 1912360512 | Travis Krans | Pharmacist | 1275 Bell Ave, Hartford, WI 53027-1976 | 2016-03-31 |
| 1942649009 | Susan M Wittman | Clinic/Center | 1275 Bell Ave, Hartford, WI 53027-1976 | 2013-06-21 |
| 1023374576 | Brandee Reichard | Pharmacist | 1275 Bell Ave, Hartford, WI 53027-1976 | 2012-04-10 |
| 1477885713 | Jeffrey Scott Giesie | Pharmacist | 1275 Bell Ave, Hartford, WI 53027-1976 | 2010-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
| 1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
| 1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
| 1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
| 1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
| 1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
| 1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
| 1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
| 1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
| Find all providers in zip 53027 | ||||
| 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 |
|---|---|---|---|---|
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1154895837 | Main Street Pharmacy Inc | Pharmacy | 2550 Main St Fl 1, Hartford, CT 06120-1936 | 2019-01-16 |
| 1811418940 | Kure Rx Inc | Pharmacy | 1156 Albany Ave, Hartford, CT 06112-2393 | 2017-06-28 |
| 1275972853 | Community Care Pharmacy Inc | Pharmacy | 408 New Britain Ave, Hartford, CT 06106-3832 | 2013-06-17 |
| 1790889608 | Connecticut Cvs Pharmacy LLC | Pharmacy | 690 Wethersfield Ave, Hartford, CT 06114-1930 | 2006-09-12 |
| 1114942844 | Aurora Pharmacy Inc | Pharmacy | 1566 E Sumner St, Hartford, WI 53027-2607 | 2006-07-13 |
| 1326098294 | Reagan Pharmacy, Inc. | Pharmacy | 111 W Mill St, Hartford, AL 36344-1647 | 2006-05-11 |
| 1770102436 | Saint Francis Hospital and Medical Center | Pharmacy | 100 Woodland St, Hartford, CT 06105-1223 | 2020-04-13 |
| 1932728698 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2020-04-13 |
| 1659915643 | Saint Francis Hospital and Medical Center | Pharmacy | 100 Woodland St, Hartford, CT 06105-1223 | 2019-11-01 |
| Find all providers in HARTFORD | ||||
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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.