Kmart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP034253L Issued in PA

Legal business name

KMART PHARMACY

Practice address

4701 W Tilghman St
Allentown, PA 18104-3211

Phone

(610) 395-2329

Fax

(847) 396-2871

NPI assigned

Mar 30, 2016

Organization subpart

Yes

Parent organization

SEARS HOLDINGS CO.As reported in NPPES

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

Authorized official

Name

Lanette Marie Scaran

Title

Pharmacist

Phone

(610) 395-2329

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Kmart of Pennsylvania LP

Locations

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1437512241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W TILGHMAN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043211",
            "telephone_number": "610-395-2329",
            "fax_number": "847-396-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W TILGHMAN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043211",
            "telephone_number": "610-395-2329",
            "fax_number": "847-396-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEARS HOLDINGS CO.",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "SCARAN",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "610-395-2329"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP034253L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007662280108",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Klosz, PA-C
• Charlotte Mae Klucher, M.A.
• Bryan W Kluck, D.O.
• Margaret Rose Kluck, D.O.
• Frank Joseph Klucsarits Jr., PT, MPT
• Jessica B Knauss
• Kimberly A Knavel, PA-C
• David Kneal Jr., D.M.D.
• Kimberly Knecht, CRNP
• Melissa Linn Knecht, P.A.-C.

• Community/Retail Pharmacy in Allentown, PA
• Providers in Allentown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.