Kmart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6227 Issued in SD

Legal business name

KMART PHARMACY

Practice address

1000 18TH St SW
Huron, SD 57350-3486

Phone

(605) 352-4525

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Ryan Robinson

Title

Pharmacist

Phone

(605) 352-4525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1639523467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 18TH ST SW",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503486",
            "telephone_number": "605-352-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 18TH ST SW",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503486",
            "telephone_number": "605-352-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "605-352-4525"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "6227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Dale Kannegieter, ATC
• Elizabeth Kelsey, ED.D., LPC-MH
• Ashley Kesterson, LMT, NMT
• Colton E Ketelhut, DR.
• Ashley Kingdon, MBHCA, LNC,BSN, RN,
• Corey Knox, CRNA
• Patrick Koistinen, CNP
• Melissa Krogman
• Ashley Lambert
• Emma Jayne Landstrom, MS

• Community/Retail Pharmacy in Huron, SD
• Providers in Huron, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.