Kmart

Primary specialty

PharmacistTaxonomy code 183500000X

License

16466 Issued in FL

Legal business name

KMART

Practice address

10501 Pines Blvd
Pembroke Pines, FL 33026

Phone

(954) 438-8822

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Henry David Bryant, PHARMD

Title

Pharmacy Intern

Phone

(954) 438-0705

Specialties & licenses 1

Addresses

Other names 1

• Sears Holdings Doing business as

Locations

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275734972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 SHERIDAN ST",
            "address_2": "8309",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248555",
            "telephone_number": "954-443-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-438-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACY INTERN",
        "authorized_official_telephone_number": "954-438-0705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "16466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sears Holdings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Klein, MD
• Yvette Klein, MD
• Geetika Arora Klevos, M.D
• Lindsay Kloiber
• Michael Robert Kluver
• Lorraine Knott Lawrence
• Max Knowles, A.P.,D.O.M.
• Michael George Kobasky II
• Jeffrey Kobetz, RPH,CPH
• Jency Kochupurackal

• Pharmacist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.