NPIMap

Organization Active NPI

Kmart

  • Pharmacist
  • Toledo, OH
National Provider Identifier
1609239136
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03109283 Issued in OH
Legal business name
KMART
Practice address
1801 W Alexis Rd
Toledo, OH 43613-2302
Phone
(419) 473-0206
Fax
(419) 473-3306
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Mr. Andrew Bernard Heuer, R.PH.
Title
Pharmacist
Phone
(419) 473-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 03109283 OH Primary

Addresses

Primary practice location

1801 W Alexis Rd
Toledo, OH 43613-2302

Mailing address

1801 W Alexis Rd
Toledo, OH 43613-2302
Phone (419) 473-0206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1609239136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132302",
            "telephone_number": "419-473-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132302",
            "telephone_number": "419-473-0206",
            "fax_number": "419-473-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "HEUER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "419-473-0206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03109283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.