Kmart Stores of Il LLC 3105

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KMART STORES OF IL LLC 3105

Practice address

2901 E Lincolnway
Sterling, IL 61081-1780

Phone

(815) 626-5862

NPI assigned

Aug 28, 2013

Last updated

Jul 21, 2022By 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. Ronald Schweihs, PHARM D

Title

PDM

Phone

(815) 626-5862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699109496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E LINCOLNWAY",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811780",
            "telephone_number": "815-626-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E LINCOLNWAY",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811780",
            "telephone_number": "815-626-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART STORES OF IL LLC 3105",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHWEIHS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PDM",
        "authorized_official_telephone_number": "815-626-5862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muna M Kilani, MD
• Yeeun Kim
• Ashleigh Camille Kipping, RN
• Karla Yvette Kirk, O.D.
• Karri Kloepping, PA
• Knox County Chiropractic Clinic
• Knox County Chiropractic Clinic
• Kathy S Knox
• Linda Kay Kramer, MHP, CNA
• Michael Joel Krueger, D.D.S.

• Community/Retail Pharmacy in Sterling, IL
• Providers in Sterling, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.