Kmart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24332 Issued in MD

Legal business name

KMART PHARMACY

Practice address

161 Big Elk Mall
Elkton, MD 21921-5912

Phone

(410) 392-6315

NPI assigned

Aug 5, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deepak Kini

Title

District Manager

Phone

(847) 396-2040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharina Nandwani

  • Pharmacist
  • Elkton, MD
  • NPI 1922552538
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1073067278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BIG ELK MALL",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215912",
            "telephone_number": "410-392-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BIG ELK MALL",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215912",
            "telephone_number": "410-392-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "KINI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "847-396-2040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "24332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kituskie, OT
• Frances Rhona Klaff, PH.D
• Mary Klesius
• Kline Behavioral Health, LLC
• Stephen Paul Kline, LGPC
• Jessica Knowlton, P.T.A.
• Vida Koranteng Adansi, LCP
• Megan R Kornhaus, RD, LDN
• Erin Kosc, LCSW-C
• Christopher Walter Koterwas, D.D.S.

• Community/Retail Pharmacy in Elkton, MD
• Providers in Elkton, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.