KMART PHARMACY


Address: 2600 Lincoln Way E, Massillon, OH 44646-5055
Phone: 3308331023

KMART PHARMACY (NPI# 1588108757) 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) 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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 2600 LINCOLN WAY E
City MASSILLON
State OH
Zip Code 44646-5055

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1144609512 A-1 Healthcare Staffing Clinic/Center 24700 Center Ridge Rd Ste 230, Westlake, OH 44145-5682 2015-05-19
1467888545 Velnet 21 Medical Clinic Clinic/Center 126 W. Mcconkey St., Shreve, OH 44676-9301 2013-09-19
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
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Competitor

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City MASSILLON
Zip Code 44646

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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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