K MART CORP (NPI# 1871524926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871524926 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY7683 |
| Practice Address |
74-5465 Kamakaeha Ave Kailua Kona HI 96740-1648 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8083261707 |
| Practice Fax Number | 8083341173 |
| 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 |
PHY527 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 08510601 | 05 | |
| PK | 2018747 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7683 | 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 |
74-5465 KAMAKAEHA AVE |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669809687 | Megan Cho Venegas | Pharmacist | 74-5465 Kamakaeha Ave, Kailua Kona, HI 96740-1648 | 2013-10-04 |
| 1063830644 | Gregory Formanack | Pharmacist | 74-5465 Kamakaeha Ave, Kailua Kona, HI 96740-1648 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| 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 |
|---|---|---|---|---|
| 1780734376 | Mina Pharmacy Ltc, LLC | Pharmacy | 75-5995 Kuakini Hwy, #513a, Kailua Kona, HI 96740-2124 | 2007-01-12 |
| 1518057017 | Puna Plantation Hawaii, Ltd. | Pharmacy | 78-6831 Alii Dr, Kailua Kona, HI 96740-2495 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098701 | Queens Development Corporation & Subsidiaries | Pharmacy | 91-2139 Fort Weaver Rd Ste 106, Ewa Beach, HI 96706-3608 | 2019-05-09 |
| 1568958536 | 5 Minute Pharmacy Nanakuli LLC | Pharmacy | 87-2070 Farrington Hwy Ste K, Waianae, HI 96792-3756 | 2018-07-02 |
| 1356835730 | Princeville Pharmacy and Health Emporium LLC | Pharmacy | 4488 Hanalei Plantation Road, Suite 100, Princeville, HI 96722 | 2018-06-19 |
| 1851801336 | Kainaliu Pharmacy L.l.c | Pharmacy | 79-7393 Mamalahoa Hwy Ste 3, Kealakekua, HI 96750-7928 | 2017-10-10 |
| 1346623394 | Value Drug Ltd. | Pharmacy | 3375 Koapaka St Ste G320, Honolulu, HI 96819-1898 | 2015-07-08 |
| 1356741904 | Walgreen Co | Pharmacy | 116 S Hotel St Ste 101, Honolulu, HI 96813-3129 | 2014-09-02 |
| 1285041319 | Wailea Pharmacy LLC | Pharmacy | 34 Wailea Gateway Pl Ste A103, Wailea, HI 96753-6525 | 2014-07-21 |
| 1811318926 | Mina Corporation | Pharmacy | 599 Farrington Hwy Ste 101, Kapolei, HI 96707-2028 | 2013-12-17 |
| 1982035879 | Nineteen Fifty-one Partners, Inc. | Pharmacy | 74-5563 Kuakini Hwy, Suite 129, Kailua-kona, HI 96740 | 2013-12-03 |
| 1245674928 | Walgreen Co | Pharmacy | 91-1081 Keaunui Dr, Ewa Beach, HI 96706-6351 | 2013-04-24 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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.