K MART CORP (NPI# 1629009766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629009766 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3444 |
| Practice Address |
9500 Montgomery Blvd Ne Albuquerque NM 87111-2501 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5052997683 |
| Practice Fax Number | 5052923796 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | GHASSAN HOURANI (VP/GMM PHARMACY ADMIN) |
| Authorized Official Telephone | 8472863382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00001110 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000063057 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3205956 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3444 | 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 |
9500 MONTGOMERY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578554069 | Adam Glenn Gardner | Chiropractor | 9500 Montgomery Blvd Ne, Suite 114, Albuquerque, NM 87111-2501 | 2005-11-02 |
| 1710232426 | Laurel Rogers | Speech-Language Pathologist | 9500 Montgomery Blvd Ne, Ste. 216, Albuquerque, NM 87111-2501 | 2012-07-18 |
| 1760764039 | Nicole Major | Speech-Language Pathologist | 9500 Montgomery Blvd Ne, Suite 215, Albuquerque, NM 87111-2501 | 2011-09-13 |
| 1568797207 | Y'shua Yisrael | Audiologist | 9500 Montgomery Blvd Ne, Albuquerque, NM 87111-2501 | 2009-10-14 |
| 1700111846 | Robin Helene Billmaier | Speech-Language Pathologist | 9500 Montgomery Blvd Ne, Albuquerque, NM 87111-2501 | 2009-10-07 |
| 1689838443 | Richard Keith Cram | Audiologist | 9500 Montgomery Blvd Ne, Suite 215, Albuquerque, NM 87111-2501 | 2008-07-10 |
| 1417035833 | Bryce Storrie | Chiropractor | 9500 Montgomery Blvd Ne, Suite # 114, Albuquerque, NM 87111-2501 | 2006-11-02 |
| 1467404731 | Jennifer Leann Walker | Pharmacist | 9500 Montgomery Blvd Ne, Albuquerque, NM 87111-2501 | 2006-05-16 |
| 1225018872 | Stephanie Suzanne Sanchez | Audiologist | 9500 Montgomery Blvd Ne, Ste. 215, Albuquerque, NM 87111-2501 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| 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 |
|---|---|---|---|---|
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1902358468 | Southwest Home Solutions LLC | Pharmacy | 205 Silver Ave Sw Ste D, Albuquerque, NM 87102-3593 | 2016-11-01 |
| 1740663293 | Abq Bestcare Pharmacy -1 LLC | Pharmacy | 2929 Coors Blvd Nw Ste 110, Albuquerque, NM 87120-1272 | 2015-07-01 |
| 1922437409 | Lovelace Health System | Pharmacy | 9501 Paseo Del Norte Ne Ste C, Albuquerque, NM 87122-2998 | 2013-11-05 |
| 1366789331 | Cvs Pharmacy Inc. | Pharmacy | 2120 Louisiana Blvd Ne, Albuquerque, NM 87110-5402 | 2013-01-11 |
| 1104178201 | Lbh Pharmacy LLC | Pharmacy | 7226 Central Ave Se Ste I, Albuquerque, NM 87108-2000 | 2012-10-12 |
| 1063693943 | Smiths Food & Drug Centers Inc | Pharmacy | 4800 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2007-11-19 |
| 1710167754 | Costco Wholesale Corporation | Pharmacy | 9955 Coors Byp Nw, Albuquerque, NM 87114 | 2007-11-07 |
| 1053505065 | Cvs Pharmacy Inc. | Pharmacy | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2007-09-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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.