Kmart

Primary specialty

PharmacyTaxonomy code 333600000X

License

0202010258 Issued in VA

Legal business name

KMART

Practice address

4715 Nine Mile Rd
Richmond, VA 23223-4908

Phone

(804) 226-9388

NPI assigned

Nov 12, 2015

Last updated

Nov 12, 2015By 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

Michael William Holcomb, R.PH.

Title

Pharmacist

Phone

(804) 226-9389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1700259728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234908",
            "telephone_number": "804-226-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234908",
            "telephone_number": "804-226-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "804-226-9389",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0202010258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica D Klisz, LPC
• Heather Michelle Kloepping, M.S
• Ursula Klostermyer, DDS PHD
• Ivette E Klumb, MD
• Daniel Wesley Klyce, PH.D.
• Kmart
• Bridget Kmetz, CRNP-F
• Robert Mark Knape, M.D.
• Catherine Knapp, BSN, RN
• Karen E Knapp, M.D.

• Pharmacy in Richmond, VA
• Providers in Richmond, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.