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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 0656283 | 05 | |
PK | 2068060 | 01 | |
NC | 0655449 | 05 |
Other Name | Type Code |
---|---|
KMART PHARMACY3116 | 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 |
815 S COLLEGE RD |
City | WILMINGTON |
State | NC |
Zip Code | 28403-4409 |
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 |
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 |
Find all providers in zip 28403 |
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 |
---|---|---|---|---|
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 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28403 |
Please comment or provide details below to improve the information on K MART CORP.
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.