K MART CORP (NPI# 1831120815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831120815 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY 4771 |
| Practice Address |
300 Pullman Sq Butler PA 16001-5658 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7242822435 |
| Practice Fax Number | 7242858833 |
| 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 |
PP414796L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007662280214 | 05 | |
| PK | 2082002 | 01 | |
| PA | 1007503260130 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY 4771 | 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 |
300 PULLMAN SQ |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-5658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045270 | Denise Emilie Maher | Pharmacist | 300 Pullman Sq, Butler, PA 16001-5658 | 2011-08-25 |
| 1083996185 | Lisa G Stein | Pharmacist | 300 Pullman Sq, Butler, PA 16001-5658 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| 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 |
|---|---|---|---|---|
| 1518347780 | Summers Pharmacy | Pharmacy | 913 W Fort Scott Street, Butler, MO 64730-2007 | 2015-06-03 |
| 1083020986 | Genoa Healthcare, LLC | Pharmacy | 1610 N Main Street Ext Ste 104, Butler, PA 16001-1513 | 2014-07-11 |
| 1952523557 | Institute Hill Pharmacy | Pharmacy | 937 E Jefferson St, Butler, PA 16001-2002 | 2007-05-03 |
| 1629171327 | Hook Superx LLC | Pharmacy | 529 W Main St, Butler, IN 46721-1348 | 2006-09-07 |
| 1144333915 | Smith's Pharmacy | Pharmacy | 10 North Poplar St, Butler, GA 31006 | 2006-08-16 |
| 1841207867 | Giant Eagle Inc | Pharmacy | 700 Moraine Pointe Plz, Butler, PA 16001-2415 | 2006-08-02 |
| 1609898337 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 200 Butler Cmns, Butler, PA 16001-2485 | 2006-07-24 |
| 1588641625 | D B O Incorporated | Pharmacy | 125 Pillow St, Butler, PA 16001-5619 | 2005-12-29 |
| 1780059378 | Bates County Memorial Hospital Pharmacy | Pharmacy | 615 W Nursery St, Butler, MO 64730-1840 | 2015-12-08 |
| 1952774929 | Monarch Pharmacy | Pharmacy | 11 S Orange St, Butler, MO 64730-1805 | 2015-11-12 |
| Find all providers in BUTLER | ||||
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.