Kmart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP00007752 Issued in NM

Legal business name

KMART PHARMACY

Practice address

1205 E Pine St
Deming, NM 88030-7038

Phone

(575) 544-9008

Fax

(575) 544-4465

NPI assigned

May 3, 2014

Last updated

May 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ambrish N Patel, PHARMDNPI 1992115588

Title

Pharmacy Manager

Phone

(405) 370-4669

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, and the practitioner matching its NPPES authorized official.

• Ambrish Patel, PHARMD

  • Pharmacist
  • Frederick, MD
  • NPI 1992115588
  Authorized official Same address or phone

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

{
    "created_epoch": "1399075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399075200000",
    "number": "1104236843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E PINE ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880307038",
            "telephone_number": "575-544-9008",
            "fax_number": "575-544-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E PINE ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880307038",
            "telephone_number": "575-544-9008",
            "fax_number": "575-544-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-03",
        "last_updated": "2014-05-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMBRISH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "405-370-4669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "RP00007752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karr Kare
• Codi Keeler
• Margaret Kemp, BSN, RN
• Myra M Kershaw
• Yulia Khan, MASSAGE THERAPIST
• Chester Kwong, SW
• La Fronter Center, Inc. Dba la Frontera New Mexico, Inc.
• George I Lafon, MD
• David P Lanoue, MD
• Amy Lawrence Simonds, CNP

• Community/Retail Pharmacy in Deming, NM
• Providers in Deming, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; 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.