K MART CORP


Address: 4300 Portsmouth Blvd, Chesapeake, VA 23321-2137
Phone: 7574655367

K MART CORP (NPI# 1962433094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962433094
Entity Type Organization
Organization Name K MART CORP
Other Organization Name KMART PHARMACY3742
Practice Address 4300 Portsmouth Blvd
Chesapeake
VA 23321-2137
Mailing Address 3333 Beverly Rd
Ac 367 B
Hoffman Estates
IL 60179-0001
Practice Telephone 7574655367
Practice Fax Number 7574655912
Mailing Telephone 8472864089
Mailing Fax Number 8472861603
Enumeration Date 2006-07-06
Last Update Date 2013-08-06
Authorized Official Name ELIZABETH ZANDER (DIRECTOR MANAGED CARE)
Authorized Official Telephone 8472867661
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
0201002744 VA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
VA 8530548 05
VA 008530548 05
PK 2104971 01

Other Provider/Organization Names

Other Name Type Code
KMART PHARMACY3742 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 4300 PORTSMOUTH BLVD
City CHESAPEAKE
State VA
Zip Code 23321-2137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639359193 National Optometry Steven Kasinof and 17 Associates Optometrists Optometrist 4300 Portsmouth Blvd, #180, Chesapeake, VA 23321-2137 2007-11-13
1205284957 Myeyedr Optometry of Virginia, Pllc Optometrist 4300 Portsmouth Blvd, Ste 180, Chesapeake, VA 23321-2137 2016-06-02
1346560919 Tiffany Monique Ford-britt Pharmacist 4300 Portsmouth Blvd, Chesapeake, VA 23321-2137 2010-06-07
1396064887 Mark F Morrell Pharmacist 4300 Portsmouth Blvd, Chesapeake, VA 23321-2137 2010-05-23
1790945558 Nicole Spruill Specialist/Technologist 4300 Portsmouth Blvd, Suite 220, Chesapeake, VA 23321-2137 2008-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215538475 Yvonne Cotton Social Worker 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 2020-11-04
1073120242 Peace In Life, LLC. Custodial Care Facility 3101 American Legion Road 21a, Chesapeake, VA 23321 2020-09-30
1497382337 Diversified Transportation Solutions Meals 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 2020-03-23
1952895344 Jasmine Wilkins Private Vehicle 4112 Jennifer Cres, Chesapeake, VA 23321 2018-06-19
1891219804 P & S Home Health Care Solutions Home Health 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 2017-08-01
1316467145 Chelsea Ellison Occupational Therapist 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 2017-06-22
1932655313 Bhg Xli, LLC Clinic/Center 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 2016-08-26
1891189429 Kelly C Diguilio Social Worker 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 2015-03-20
1447665336 Clancey Page Behavioral Analyst 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 2014-06-30
1558786228 Mary Elizabeth Whitley Home Health Aide 3933 Galleon Dr., Chesapeake, VA 23321 2014-03-04
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932720174 Warrington Wellness and Compounding Pharmacy Pharmacy 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 2020-04-28
1447787445 Sparrow Pharmacy LLC Pharmacy 1101 Executive Blvd Ste A, Chesapeake, VA 23320-3634 2017-05-22
1235510314 Gardens Pharmacy Pharmacy 1101 Executive Blvd, Suite A, Chesapeake, VA 23320-3634 2015-06-15
1679917611 On-site Rx Pharmacy 817 Botetourt Ct, Ste. 103, Chesapeake, VA 23320-4886 2013-04-22
1962748194 Southpeake Enterprises, Inc. Pharmacy 800 Battlefield Blvd S, Suite 105, Chesapeake, VA 23322-6670 2012-12-16
1912120098 Walker Pharmacy, Inc Pharmacy 2709 Campostella Rd Ste K, Chesapeake, VA 23324-3604 2007-04-10
1326123852 Harris Teeter, LLC Pharmacy 237 Hanbury Rd. E., Chesapeake, VA 23322 2006-10-25
1215011804 Virginia Cvs Pharmacy LLC Pharmacy 233 Carmichael Way, Chesapeake, VA 23322-2182 2006-10-24
1437242864 Walker Pharmacy Incorporated of Virginia Pharmacy 2709 Campostella Rd, Unit K, Chesapeake, VA 23324-3604 2006-09-30
1144312059 Harris Teeter, LLC Pharmacy 1216 Greenbrier Pkwy., Chesapeake, VA 23320 2006-09-28
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Competitor

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City CHESAPEAKE
Zip Code 23321

Improve Information

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Dataset Information

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.

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