KMART STORES OF TEXAS LLC (NPI# 1720019722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720019722 |
| Entity Type | Organization |
| Organization Name | KMART STORES OF TEXAS LLC |
| Other Organization Name | KMART PHARMACY4389 |
| Practice Address |
1801 S 10th St Mcallen TX 78503-5401 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 9566611351 |
| Practice Fax Number | 9566611132 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| 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 |
23080 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4536186 | 01 | |
| TX | 465120 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY4389 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265463269 | Kmart Stores of Texas LLC | Pharmacy | 1405 E Expressway 83, Mission, TX 78572-6612 | 2006-07-06 |
| 1932453941 | Kmart Stores of Texas LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 1265464010 | Kmart Stores of Texas LLC | Pharmacy | 1120 Mcrae Blvd, El Paso, TX 79925-7642 | 2006-07-06 |
| 1083645089 | Kmart Stores of Texas LLC | Pharmacy | 5001 San Dario Ave, Laredo, TX 78041-5777 | 2006-07-06 |
| 1174554174 | Kmart Stores of Texas LLC | Pharmacy | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2006-07-06 |
| 1356372353 | Kmart Stores of Texas LLC | Pharmacy | 3701 N 23rd St, Mcallen, TX 78501-6007 | 2006-07-06 |
| 1447281449 | Kmart Stores of Texas LLC | Pharmacy | 1101 S Fort Hood St, Killeen, TX 76541-7451 | 2006-07-06 |
| 1538190533 | Kmart Stores of Texas LLC | Pharmacy | 11330 Montwood Dr, El Paso, TX 79936-4383 | 2006-07-06 |
| 1710918719 | Kmart Stores of Texas LLC | Pharmacy | 1400 Wildcat Dr, Portland, TX 78374-2813 | 2006-07-06 |
| 1992736995 | Kmart Stores of Texas LLC | Pharmacy | 655 Sunland Park Dr, El Paso, TX 79912-5205 | 2006-07-06 |
| Street Address |
1801 S 10TH ST |
| City | MCALLEN |
| State | TX |
| Zip Code | 78503-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376875591 | Jaime Roberto Barrachina | Pharmacist | 1801 S 10th St, Mcallen, TX 78503-5401 | 2010-02-12 |
| 1316261407 | Nam Quoc Nguyen | Pharmacist | 1801 S 10th St, Mcallen, TX 78503-5401 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275142622 | Wound Care Institute of Texas, Pllc | Clinic/Center | 1401 E Ridge Rd Ste C, Mcallen, TX 78503 | 2020-07-30 |
| 1699399667 | Maryann Flores Zurrica | Audiologist | 2101 S. Cynthia, Plex A, Mcallen, TX 78503 | 2020-06-04 |
| 1588209720 | Yadira A. Lowery | Nurse Practitioner | 301 W Espressway 83, Mcallen, TX 78503 | 2019-11-12 |
| 1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
| 1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
| 1912482167 | Premier Hospitalists, Pllc | Hospitalist | 1601 W. Trenton Rd Suite L, Mcallen, TX 78503 | 2018-10-03 |
| 1629557707 | Maritza Venegas | Specialist/Technologist | 2904 S Jackson Rd, Mcallen, TX 78503 | 2018-08-09 |
| 1659868958 | Ronald Regala Cortez | Nurse Practitioner | 110 E. Savannah Ave., Bldg B Ste 203, Mcallen, TX 78503 | 2018-04-23 |
| 1679074983 | Mcallen Family Dentistry Pllc | Dentist | 4229 W Expressway 83, Ste 10, Mcallen, TX 78503 | 2018-02-22 |
| 1528573169 | Librado Omar Cavazos | Nurse Practitioner | 110 E Savannah Ave # 203, Mcallen, TX 78503 | 2017-12-05 |
| Find all providers in zip 78503 | ||||
| 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 |
|---|---|---|---|---|
| 1558916692 | Hamarsyl Pharmacy LLC | Pharmacy | 2528 Buddy Owens Ave, Mcallen, TX 78504-5464 | 2019-08-06 |
| 1275078990 | Apple Pharmacy Solutions Inc | Pharmacy | 2010 S Cynthia St Ste 108, Mcallen, TX 78503-1387 | 2017-01-04 |
| 1033516588 | S. Mian, LLC | Pharmacy | 4115 Pecan Blvd Ste C, Mcallen, TX 78501-3695 | 2014-11-28 |
| 1194029751 | Mexrx Inc | Pharmacy | 4800 S 23rd St Ste 6, Mcallen, TX 78503-8694 | 2010-12-22 |
| 1831412972 | Queen Pharmacy | Pharmacy | 1001 S 10th St, Suite H, Mcallen, TX 78501-5049 | 2010-03-03 |
| 1982812368 | Ct Pharmacy Ltd | Pharmacy | 2502 Buddy Owens Ave, Mcallen, TX 78504-5464 | 2007-05-18 |
| 1710018072 | Jnr Pharmacy Inc | Pharmacy | 2201 S 23rd St, Ste B, Mcallen, TX 78503-5659 | 2007-03-08 |
| 1396871323 | Coogs Investments Ltd | Pharmacy | 1301 E Fern Ave Ste B1, Mcallen, TX 78501-1467 | 2007-02-26 |
| 1841331600 | Velas Pharmacy | Pharmacy | 2000 S Mccoll Rd, Ste A, Mcallen, TX 78503-1501 | 2007-02-12 |
| 1679655633 | Medical Med-choice Pharmacy, LLC | Pharmacy | 3001 N. 23rd St., Ste. 9, Mcallen, TX 78501 | 2006-10-19 |
| Find all providers in MCALLEN | ||||
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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.