K MART CORP (NPI# 1962433086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962433086 |
| Entity Type | Organization |
| Organization Name | K MART CORP |
| Other Organization Name | KMART PHARMACY7526 |
| Practice Address |
3909 S Us Highway 169 Saint Joseph MO 64503-1558 |
| Mailing Address |
3333 Beverly Rd Ac 367 B Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8163643499 |
| Practice Fax Number | 8163646822 |
| Mailing Telephone | 8472862527 |
| Mailing Fax Number | 8472861603 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | DAIN RUSK (VP/GM PHARMACY) |
| Authorized Official Telephone | 8472863348 |
| 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 |
004059 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 601768906 | 05 | |
| PK | 2050266 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY7526 | 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 |
3909 S US HIGHWAY 169 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64503-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994356 | Laurie Dunn | Social Worker | 3302 S Belt Hwy P, Saint Joseph, MO 64503 | 2017-07-13 |
| 1598174062 | Karen Elizabeth Mccoy | Nurse Practitioner | 904 S.10th Street Homeless Outreach, Suite A, St. Joseph, MO 64503 | 2014-08-08 |
| 1487633848 | Rebecca A Weber | Speech-Language Pathologist | 3007 S Belt Hwy, St Joseph, MO 64503 | 2006-01-13 |
| 1003030990 | Dixie Leah Mattthews | Physical Therapy Assistant | 2708 Walnut St, Saint Joseph, MO 64503-1159 | 2007-04-12 |
| 1295871200 | Barbara Joanne Despain | Social Worker | 2716 Ajax Rd, Saint Joseph, MO 64503-1326 | 2007-01-29 |
| 1255622148 | Gayron W Haywood | Counselor | 3106 Pickett Rd, Saint Joseph, MO 64503-1426 | 2011-04-26 |
| 1881738748 | Holly L. Thomas-chapman | Social Worker | 3216 Pickett Rd, Saint Joseph, MO 64503-1428 | 2007-02-16 |
| 1770504730 | Hac, Inc. | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2006-07-22 |
| 1417339102 | Wheels's Pharmacy | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2015-06-18 |
| 1447899075 | Ashley Dickerson | Social Worker | 3302 S Belt Hwy Ste P, Saint Joseph, MO 64503-1514 | 2019-12-30 |
| Find all providers in zip 64503 | ||||
| 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 |
|---|---|---|---|---|
| 1932670965 | Northwest Health Services Inc | Pharmacy | 2303 Village Dr Suite B, Saint Joseph, MO 64506-4954 | 2018-12-17 |
| 1396824116 | Martin's Super Market of St. Joseph LLC | Pharmacy | 2121 S Cleveland Ave, Saint Joseph, MI 49085-2601 | 2006-11-03 |
| 1114026424 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 930 N Belt Hwy, Saint Joseph, MO 64506-3013 | 2006-09-22 |
| 1952323651 | Missouri Cvs Pharmacy LLC | Pharmacy | 5201 N Belt Hwy Ste H, Saint Joseph, MO 64506-1297 | 2006-07-24 |
| 1770504730 | Hac, Inc. | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2006-07-22 |
| 1689695645 | Hac, Inc | Pharmacy | 903 N 36th St, Saint Joseph, MO 64506-2971 | 2006-07-22 |
| 1932140365 | Vans Pharmacy Inc | Pharmacy | 807 Napier Ave, Saint Joseph, MI 49085-2003 | 2006-06-09 |
| 1699247080 | Northwest Health Services Inc | Pharmacy | 1517 Saint Joseph Ave, Saint Joseph, MO 64505-2631 | 2018-12-22 |
| 1295101038 | Wheel's Pharmacy | Pharmacy | 903 N 36th St, Saint Joseph, MO 64506-2971 | 2015-08-17 |
| 1417339102 | Wheels's Pharmacy | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2015-06-18 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64503 |
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.