Kmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0202214252 Issued in VA

Legal business name

KMART

Practice address

4715 Nine Mile Rd
Richmond, VA 23223-4908

Phone

(804) 226-9388

NPI assigned

Apr 19, 2016

Last updated

Apr 19, 2016By 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. Lea Lilie

Title

Pharmacy District Manager

Phone

(919) 819-4217

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1891149670",
    "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"
        },
        {
            "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": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "LILIE",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "919-819-4217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0202214252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Dolores Knaysi, CRNA

• Community/Retail Pharmacy in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.