K MART CORP (NPI# 1891726907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891726907 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3120 |
| Practice Address |
10901 N Rodney Parham Rd Little Rock AR 72212-4114 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 5012270131 |
| Practice Fax Number | 5012270395 |
| 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 |
AR20225 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1989294 | 01 | |
| AR | 139777407 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3120 | 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 |
10901 N RODNEY PARHAM RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265592448 | Christopher Maclean Long | Physical Therapist | 10901 N Rodney Parham Rd, Ste 7a, Little Rock, AR 72212-4114 | 2006-12-11 |
| 1518321553 | Belinda Mccutcheon | Pharmacist | 10901 N Rodney Parham Rd, Little Rock, AR 72212-4114 | 2016-04-06 |
| 1578948626 | Casey Schmalzried | Physical Therapist | 10901 N Rodney Parham Rd, Little Rock, AR 72212-4114 | 2015-07-29 |
| 1982003059 | Bradley Lawson | Pharmacist | 10901 N Rodney Parham Rd, Kmart Pharmacy, Little Rock, AR 72212-4114 | 2014-08-14 |
| 1568871556 | Stephen Blake | Physical Therapist | 10901 N Rodney Parham Rd, Suite 7a, Little Rock, AR 72212-4114 | 2014-08-05 |
| 1518208487 | Christopher Bryan Nagle | Pharmacist | 10901 N Rodney Parham Rd, Little Rock, AR 72212-4114 | 2013-03-01 |
| 1871794974 | Timothy Kyle Fincher | Pharmacist | 10901 N Rodney Parham Rd, Little Rock, AR 72212-4114 | 2007-05-29 |
| 1619025616 | Supermarket Investors Inc | Pharmacy | 10901 N Rodney Parham Rd, Little Rock, AR 72212-4114 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| 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 |
|---|---|---|---|---|
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1972023240 | Medicine Man Pharmacy - Little Rock, Inc | Pharmacy | 400 N Bowman Rd Ste 31, Little Rock, AR 72211-2733 | 2017-06-27 |
| 1285167502 | Nw Otter Creek LLC | Pharmacy | 10100 Stagecoach Rd, Little Rock, AR 72210-5742 | 2017-04-04 |
| 1619374360 | Cjn Pharmacy Services LLC | Pharmacy | 400 N Bowman Rd Ste 19, Little Rock, AR 72211-2733 | 2014-11-24 |
| 1063834380 | Pharmacy of Otter Creek | Pharmacy | 10506 Stagecoach Rd Ste F, Little Rock, AR 72210-8939 | 2014-01-07 |
| 1366706244 | Allcare Specialty Pharmacy LLC | Pharmacy | 10620 Colonel Glenn Rd Ste 300, Little Rock, AR 72204-8048 | 2012-06-26 |
| 1548575814 | Arkansas Cvs Pharmacy LLC | Pharmacy | 420 S University Ave, Little Rock, AR 72205-5246 | 2010-08-11 |
| 1760629984 | Stagecoach Pharmacy LLC | Pharmacy | 1 Stagecoach Vlg, Ste 2, Little Rock, AR 72210-4750 | 2009-01-09 |
| 1174671176 | Supermarket Investors Inc | Pharmacy | 1701 Main St, Little Rock, AR 72206-1471 | 2007-01-08 |
| 1700934700 | Supermarket Investors Inc | Pharmacy | 2510 Cantrell Rd, Little Rock, AR 72202-2116 | 2007-01-08 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
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.