K MART CORP (NPI# 1780615815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780615815 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY9154 |
| Practice Address |
129 Mall Rd Covington VA 24426-2413 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5409629832 |
| Practice Fax Number | 5409629315 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | JENNIFER SPEARES (DIR. OF COMPLIANCE AND ADMIN.) |
| Authorized Official Telephone | 8472865116 |
| 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 |
0201002847 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8531251 | 05 | |
| PK | 2105667 | 01 | |
| VA | 008531251 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY9154 | 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 |
| 1689605727 | K Mart Corp | Pharmacy | 625 Hwy 136, Baraboo, WI 53913-1061 | 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 |
| Street Address |
129 MALL RD |
| City | COVINGTON |
| State | VA |
| Zip Code | 24426-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547759 | Franklin Owen Keeney | Pharmacist | 313 W. Thacker Rd, Covington, VA 24426 | 2018-08-08 |
| 1528410065 | Rainelle Medical Center, Inc. | Clinic/Center | 539 Parklin Drive, Covington, VA 24426 | 2016-07-08 |
| 1588005086 | City of Covington | Ambulance | 435 W. Hawthorne Street, Covington, VA 24426 | 2013-07-12 |
| 1154630879 | Dawn Walton Wilson | Social Worker | 2708 Potts Creed Rd., Covington, VA 24426 | 2010-09-29 |
| 1760719405 | Family Preservation Services, Inc. | Community/Behavioral Health | 560 Indian Valley Road, Covington, VA 24426 | 2009-11-17 |
| 1568624203 | James I Gilbert IIi Dds Inc | Dentist | 229 N Monroe Avenue, Covington, VA 24426 | 2008-06-25 |
| 1245413368 | Dunlap Volunteer Fire Department and Rescue Squad, Inc. | Ambulance | 4115 Midland Trail, Covington, VA 24426 | 2007-12-12 |
| 1902857683 | Krishna Sankar | Specialist | 201 Interstate Drive, Covington, VA 24426 | 2006-05-15 |
| 1235196973 | James I Gilbert IIi | Dentist | 229 North Monroe Avenue, Covington, VA 24426 | 2006-04-27 |
| 1528495553 | Family Preservation Services, Inc | Community/Behavioral Health | 319 Main Street, Covington, VA 24426 | 2013-10-04 |
| Find all providers in zip 24426 | ||||
| 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 |
|---|---|---|---|---|
| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1275151938 | Salem Pharmacy LLC | Pharmacy | 3273 Salem Rd, Covington, GA 30016-1863 | 2020-07-09 |
| 1699186015 | Archway Apothecary LLC | Pharmacy | 2190 Manton Dr, Covington, LA 70433-1000 | 2014-05-20 |
| 1275879389 | Abf Inc | Pharmacy | 110 Star Shopping Ctr St, Covington, TN 38019-3000 | 2012-12-17 |
| 1881992873 | Piedmont Pharmacy Inc | Pharmacy | 4104 Tate St Ne, Covington, GA 30014-2551 | 2011-03-01 |
| 1235465584 | Winn Dixie Stores Inc | Pharmacy | 70431 Hwy 21, Covington, LA 70433 | 2009-10-21 |
| 1912131335 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5384 Highway 20 S, Covington, GA 30016-4403 | 2009-05-13 |
| 1720229511 | Walgreen Co | Pharmacy | 12955 Brown Bridge Rd, Covington, GA 30016-2905 | 2009-03-09 |
| 1821246927 | Costco Wholesale Corporation | Pharmacy | 27520 Covington Way Se, Covington, WA 98042-9100 | 2008-09-03 |
| 1568640902 | Lee Road Drugs | Pharmacy | 19705 Highway 40, Suite 100, Covington, LA 70435-9316 | 2008-02-07 |
| Find all providers in COVINGTON | ||||
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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.