K MART CORP


Address: 815 S College Rd, Wilmington, NC 28403-4409
Phone: 9107994584

K MART CORP (NPI# 1477584522) 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) 1477584522
Entity Type Organization
Organization Name K MART CORP
Other Organization Name KMART PHARMACY3116
Practice Address 815 S College Rd
Wilmington
NC 28403-4409
Mailing Address 3333 Beverly Rd
Ac 367 B
Hoffman Estates
IL 60179-0001
Practice Telephone 9107994584
Practice Fax Number 9107913910
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
09886 NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC 0656283 05
PK 2068060 01
NC 0655449 05

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY3116 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 815 S COLLEGE RD
City WILMINGTON
State NC
Zip Code 28403-4409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942563051 Lee Ann Moore Pharmacist 815 S College Rd, Wilmington, NC 28403-4409 2012-06-22
1447673801 Rachel Keels Lanier Pharmacist 815 S College Rd, Kmart Pharmacy, Wilmington, NC 28403-4409 2014-01-21
1184976649 Robert Edwin Joyce Jr. Pharmacist 815 S College Rd, Wilmington, NC 28403-4409 2012-10-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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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

NPI Name Taxonomy Address Enumeration
1215538582 Wilmington Pharmacy LLC Pharmacy 600 W Baltimore St, Wilmington, IL 60481-1281 2020-11-03
1720633084 New Hanover Regional Medical Center Pharmacy 2250 Shipyard Blvd Ste 12, Wilmington, NC 28403-8070 2019-08-05
1831671932 Greenhill Specialty Pharmacy LLC. Pharmacy 2500 W 4th St # 2, Wilmington, DE 19805-3367 2018-09-05
1396237699 Alfa Farmacia Pharmacy 1365 N Avalon Blvd, Wilmington, CA 90744-2603 2018-06-01
1639537111 Unioncare Pharmacy LLC Pharmacy 408 N Union St, Wilmington, DE 19805-3026 2016-01-29
1346640455 Cvs Pharmacy Inc. Pharmacy 210 Ballardvale St, Wilmington, MA 01887-1032 2014-08-26
1437495371 Ainsley's Pharmacy LLC Pharmacy 3610 Miller Rd, Wilmington, DE 19802-2524 2012-12-21
1124375738 Delaware Cvs Pharmacy LLC Pharmacy 1605 Telegraph Rd, Wilmington, DE 19804-4113 2012-08-14
1518213917 Carter Drugs Pharmacy 4037 Masonboro Loop Rd, Suite G, Wilmington, NC 28409-3682 2012-08-03
1427268069 Market Street Pharmacy Inc Pharmacy 908 B 16th Ste, Wilmington, PA 19802-5145 2007-05-23
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Competitor

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City WILMINGTON
Zip Code 28403

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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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