KMART PHARMACY (NPI# 1588108757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588108757 |
Entity Type | Organization |
Organization Name | KMART PHARMACY |
Practice Address |
2600 Lincoln Way E Massillon OH 44646-5055 |
Practice Telephone | 3308331023 |
Enumeration Date | 2016-12-07 |
Last Update Date | 2016-12-07 |
Authorized Official Name | MR. ANDREW BERNARD HEUER (DISTRICT MANAGER) |
Authorized Official Telephone | 7243440964 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
RPH.03236591-2 | OH | Ambulatory Health Care Facilities |
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 |
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 |
1366896920 | Kmart Pharmacy | Pharmacy | 2520 Nicholasville Rd, Lexington, KY 40503-3384 | 2016-04-20 |
Street Address |
2600 LINCOLN WAY E |
City | MASSILLON |
State | OH |
Zip Code | 44646-5055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821311754 | Nathan P Hurless | Pharmacist | 2600 Lincoln Way E, Massillon, OH 44646-5055 | 2010-03-06 |
1528313053 | Nicole Renee Egan | Pharmacist | 2600 Lincoln Way E, Massillon, OH 44646-5055 | 2012-07-20 |
1538472469 | Kim Larie Mcbeth | Pharmacist | 2600 Lincoln Way E, Massillon, OH 44646-5055 | 2010-07-20 |
1861423923 | K Mart Corp | Pharmacy | 2600 Lincoln Way E, Massillon, OH 44646-5055 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
Find all providers in zip 44646 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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1396092110 | Neighborhood Health Care, Inc. | Clinic/Center | 1935 Fairfax Ave, Cincinnati, OH 45207-1905 | 2012-08-10 |
1710297734 | Neighborhood Health Care, Inc. | Clinic/Center | 636 Prospect Pl, Cincinnati, OH 45229-2916 | 2010-10-08 |
1013140201 | Neighborhood Health Care, Inc. | Clinic/Center | 2515 Clifton Ave., Cincinnati, OH 45219-1003 | 2009-09-03 |
1912138157 | Good Shepherd Community Doctors Office | Clinic/Center | 30 W Front St, Youngstown, OH 44503-1417 | 2009-08-05 |
Find all providers with the same taxonomy |
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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.