KMART OF MICHIGAN INC


Address: 2500 E M21, Corunna, MI 48817
Phone: 9897435656

KMART OF MICHIGAN INC (NPI# 1760413751) 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) 1760413751
Entity Type Organization
Organization Name KMART OF MICHIGAN INC
Other Organization Name KMART PHARMACY7022
Practice Address 2500 E M21
Corunna
MI 48817
Mailing Address 3333 Beverly Rd
Ac 367 B
Hoffman Estates
IL 60179-0001
Practice Telephone 9897435656
Practice Fax Number 9897434810
Mailing Telephone 8472864089
Mailing Fax Number 8472861603
Enumeration Date 2006-07-06
Last Update Date 2009-06-19
Authorized Official Name ROBBERT AYSHFORD (DIVISIONAL VICE PRESIDENT)
Authorized Official Telephone 8472868242
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301004871 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI 2536153 05
NCPDP PROVIDER IDENTIFICATION NUMBER 2328258 01

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY7022 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114353919 Kmart of Michigan Inc Pharmacy 2425 S I 75 Business Loop, Grayling, MI 49738-2042 2013-09-25
1609984095 Kmart of Michigan Inc Pharmacy 1151 S Otsego Ave # A, Gaylord, MI 49735-1789 2006-08-27
1700817780 Kmart of Michigan Inc Pharmacy 19800 West Rd, Woodhaven, MI 48183-3319 2006-07-06
1609807692 Kmart of Michigan Inc Pharmacy 6730 River Rd, Marine City, MI 48039-2284 2006-07-06
1538190517 Kmart of Michigan Inc Pharmacy 100 E Maple Rd, Troy, MI 48083-2714 2006-07-06
1457382434 Kmart of Michigan Inc Pharmacy 215 N Maple Rd, Ann Arbor, MI 48103-2823 2006-07-06
1538190525 Kmart of Michigan Inc Pharmacy 710 Chicago Dr, Holland, MI 49423-3074 2006-07-06
1750312740 Kmart of Michigan Inc Pharmacy 17580 Frazho Rd, Roseville, MI 48066-3829 2006-07-06
1336170323 Kmart of Michigan Inc Pharmacy 2948 S State Rd, Ionia, MI 48846-9475 2006-07-06
1447282298 Kmart of Michigan Inc Pharmacy 4002 S Dort Hwy, Flint, MI 48507-2138 2006-07-06

Office Location

Street Address 2500 E M21
City CORUNNA
State MI
Zip Code 48817

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982258612 Mallory Sue Poisson-brown Home Health Aide 200 E Mcneil St, Corunna, MI 48817 2019-07-31
1891297347 Elizabeth Catherine Graves Physical Therapist 275 Caldonia Dr, Owosso, MI 48817 2018-03-01
1043626351 Philip James Smith Pharmacist 2591 E M-21, Coronna, MI 48817 2014-07-08
1801945407 Meijer Inc Durable Medical Equipment & Medical Supplies 2591 East M-21, Corunna, MI 48817 2007-01-10
1902216567 Patrick Aaron Williams Counselor Po Box 123, Corunna, MI 48817-0123 2014-05-05
1881699239 Riverview Dental, PC Dentist 611 N Shiawassee St, Corunna, MI 48817-1039 2005-06-14
1497370720 Nicole Christine Bundy Dentist 611 N Shiawassee St, Corunna, MI 48817-1039 2020-06-12
1508969767 Paul R Kuhlman Dentist 611 N Shiawassee St, Corunna, MI 48817-1039 2006-09-06
1679676845 Dirk G Rennick Dentist 611 N Shiawassee St, Corunna, MI 48817-1039 2006-09-06
1104013077 Corunna Area Ambulance Service Inc Ambulance 610 N Shiawassee St, Corunna, MI 48817-1040 2007-09-25
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477389 Rose Rex LLC Pharmacy 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 2020-11-08
1508466194 Grand Gratiot Pharmacy, LLC Pharmacy 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 2020-10-31
1104424530 Advance Care Rx, LLC Pharmacy 500 N Cass St, Berrien Springs, MI 49103-1069 2020-10-16
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1881292001 Healthwatch Pharmacy Inc Pharmacy 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 2020-10-09
1225645781 Good Choice Pharmacy LLC Pharmacy 6750 E 10 Mile Rd, Center Line, MI 48015-1166 2020-09-29
1487269122 Canfield Pharmacy LLC Pharmacy 4673 Conner St, Detroit, MI 48215-2028 2020-09-10
1851905707 Skidway Pharmacy LLC Pharmacy 1830 Greenwood Rd, Prescott, MI 48756-8627 2020-09-08
1023621190 Azam Mohsen Mesleh Pharmacy 6811 Theisen St, Dearborn, MI 48126-1927 2020-08-28
1821606310 S&k Pharmacy Inc. Pharmacy 1916 Davison Rd, Flint, MI 48506-4423 2020-07-21
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Competitor

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City CORUNNA
Zip Code 48817

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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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