KMART PHARMACY (NPI# 1568832517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568832517 |
| Entity Type | Organization |
| Organization Name | KMART PHARMACY |
| Other Organization Name | SEARS HOLDINGS |
| Practice Address |
26996 Us Highway 19 N Clearwater FL 33761-3466 |
| Mailing Address |
2070 Envoy Ct Clearwater FL 33764-2560 |
| Practice Telephone | 7277961033 |
| Mailing Telephone | 7277094549 |
| Mailing Fax Number | 8473962725 |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2015-10-03 |
| Authorized Official Name | MR. ROBERT L. BURN (DISTRICT MANAGER-SOUTHERN REGION) |
| Authorized Official Telephone | 9415041447 |
| Authorized Official Credential | RPH, DM |
| Is Organization Subpart | Y |
| Parent Organization Name | I DONT KNOW |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | PS29426 | FL | Agencies |
| Other Name | Type Code |
|---|---|
| Sears holdings | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067278 | Kmart Pharmacy | Pharmacy | 161 Big Elk Mall, Elkton, MD 21921-5912 | 2016-08-05 |
| 1104270040 | Kmart Pharmacy | Pharmacist | 2965 Hemingway Lane, Lexington, KY 40513-0000 | 2016-04-18 |
| 1194188953 | Kmart Pharmacy | Pharmacist | 1801 W Alexis Rd, Toledo, OH 43613-2302 | 2016-03-30 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1386057677 | Kmart Pharmacy | Pharmacy | 1284 Brice Rd, Reynoldsburg, OH 43068-2311 | 2014-06-04 |
| 1104236843 | Kmart Pharmacy | Pharmacy | 1205 E Pine St, Deming, NM 88030-7038 | 2014-05-03 |
| 1588108757 | Kmart Pharmacy | Clinic/Center | 2600 Lincoln Way E, Massillon, OH 44646-5055 | 2016-12-07 |
| 1255787008 | Kmart Pharmacy | Case Management | 404 N Marine Corps Dr, Tamuning, GU 96913-4109 | 2016-05-11 |
| 1750735007 | Kmart Pharmacy | Pharmacy | 1308 W Walnut Ave, Dalton, GA 30720-3827 | 2016-04-22 |
| 1477907954 | Kmart Pharmacy | Pharmacy | 830 W Fulton St, Waupaca, WI 54981-1406 | 2016-04-20 |
| Street Address |
26996 US HIGHWAY 19 N |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240833 | Denny Bass | Pharmacist | 26996 Us Highway 19 N, Clearwater, FL 33761-3466 | 2010-07-24 |
| 1255939336 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 26996 Us Highway 19 N, Clearwater, FL 33761-3466 | 2020-10-12 |
| 1659302768 | K Mart Corp | Pharmacy | 26996 Us Highway 19 N, Clearwater, FL 33761-3466 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750765806 | Walmart Pharmacy | Public Health or Welfare | 23106 Us Highway 19 N, Clearwater, FL 33765-1849 | 2015-07-17 |
| 1699926428 | Pinellas County Health Department | Public Health or Welfare | 310 N Myrtle Ave, Clearwater, FL 33755-4431 | 2008-10-10 |
| 1114012366 | Suncoast Center for Community Mental Health, Inc | Public Health or Welfare | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2006-10-04 |
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|---|---|---|---|---|
| 1699384735 | I Slash Technologies LLC | Public Health or Welfare | 6504 Markstown Dr Apt D, Tampa, FL 33617-9516 | 2020-07-24 |
| 1699393488 | Richard Harry | Public Health or Welfare | 211 W Atwater Ave, Eustis, FL 32726-5423 | 2020-07-08 |
| 1326670357 | Blackstone Home Healthcare LLC | Public Health or Welfare | 101 Century 21 Dr Ste 208, Jacksonville, FL 32216-9293 | 2020-02-07 |
| 1184261125 | Deena Cruce | Public Health or Welfare | 4800 Nw 19th Pl, Gainesville, FL 32605-3434 | 2019-12-10 |
| 1447895925 | Community Health Medical Center LLC | Public Health or Welfare | 3951 N Haverhill Rd Ste 117, West Palm Beach, FL 33417-8349 | 2019-11-08 |
| 1346809290 | Initium Novum LLC | Public Health or Welfare | 1657 N Miami Ave Apt 515, Miami, FL 33136-2010 | 2019-06-12 |
| 1497230528 | Dynamic Medical Management Solutions | Public Health or Welfare | 6100 Johnson St, Hollywood, FL 33024-6030 | 2018-09-25 |
| 1578047692 | Luis Estevez | Public Health or Welfare | 6789 Sw 14th St, Miami, FL 33144-5528 | 2018-09-25 |
| 1205330347 | Christine Denise Mendez | Public Health or Welfare | 6200 Sw 73rd St # E, South Miami, FL 33143-4679 | 2018-03-22 |
| 1437664919 | Eclipse Medical Inc. | Public Health or Welfare | 7811 Coral Way Ste 103, Miami, FL 33155-6540 | 2017-12-06 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
Please comment or provide details below to improve the information on KMART PHARMACY.
| 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.