K MART CORP (NPI# 1932130069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932130069 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY3425 |
| Practice Address |
5636 Us Route 60 Huntington WV 25705-2148 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 3047362098 |
| Practice Fax Number | 3047364372 |
| 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 |
MP0550752 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0227773017 | 05 | |
| PK | 2109795 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY3425 | 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 |
5636 US ROUTE 60 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25705-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012138 | Kmart3425 | Pharmacy | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-05-12 |
| 1003272352 | Sears Holdings | General Acute Care Hospital | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-12-31 |
| 1376922567 | Timothy Lee Baker | Pharmacist | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664010 | Jessica Ann Richmond | Pharmacist | 3333 Us-60, Huntington, WV 25705 | 2020-09-18 |
| 1407418718 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 3377 60 E, Huntington, WV 25705 | 2019-07-08 |
| 1508347238 | Catherine Lea Chapman | Family Medicine | 1530 Norway Ave - Mildred Mitchel Bateman Hospital, Huntington, WV 25705 | 2018-08-21 |
| 1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
| 1407358120 | Sara Megan Hensley | Registered Nurse | 4 Rujon Dr, Huntington, WV 25705 | 2018-03-08 |
| 1104332329 | Brenda Joyce Lemaster | Technician | 5226 Irwin Road, Huntington, WV 25705 | 2017-12-26 |
| 1750824033 | Chad Butler | Pharmacist | 3377 Route 60 East, Huntington, WV 25705 | 2016-11-18 |
| 1952769549 | Tonya Lynn Holley | Nurse Practitioner | 3375 Us 60, Huntington, WV 25705 | 2016-02-10 |
| 1609262930 | Jenny Ann Kerr | Social Worker | 3375 Us Rt 60 East, Huntington, WV 25705 | 2015-04-14 |
| 1093117566 | Starlight Behavioral Health Services Inc | Community/Behavioral Health | 5315 Cherry Lawn Rd, Huntington, WV 25705 | 2014-09-16 |
| Find all providers in zip 25705 | ||||
| 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 |
|---|---|---|---|---|
| 1962037234 | Wfrx Pharmacy Inc. | Pharmacy | 1200 E Jericho Tpke, Huntington, NY 11743-5404 | 2020-03-07 |
| 1790209633 | O'neils Smart Health Pharmacy | Pharmacy | 221 North Main Street, Huntington, UT 84528-1094 | 2017-08-02 |
| 1770639114 | G & R LLC | Pharmacy | 361 Norway Ave, Huntington, WV 25705-1320 | 2007-01-26 |
| 1598846222 | Safe Rx Pharmacies Inc | Pharmacy | 335 4th Ave, Huntington, WV 25701-1223 | 2006-10-18 |
| 1467546770 | Pastm Inc | Pharmacy | 4352 5th Street Rd, Huntington, WV 25701-9558 | 2006-10-03 |
| 1619070372 | West Virginia Cvs Pharmacy LLC | Pharmacy | 5179 Us Route 60 E, Huntington, WV 25705-2003 | 2006-09-07 |
| 1447353131 | Hook Superx LLC | Pharmacy | 1901 N Jefferson St, Huntington, IN 46750-1352 | 2006-09-07 |
| 1881608032 | Rx Express Prescription Services Inc. | Pharmacy | 1842 E Jericho Tpke, Huntington, NY 11743-5796 | 2006-07-27 |
| 1861438319 | North Country Drugs Inc | Pharmacy | 227 229 East Main Street, Huntington, NY 11743 | 2006-06-22 |
| 1841898095 | Brittany Dolsen | Pharmacy | 2800 Wal Mart Dr, Huntington, IN 46750-7977 | 2020-10-10 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25705 |
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.