Sears Holdings Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18051-40 Issued in WI

Legal business name

SEARS HOLDINGS CORPORATION

Practice address

4100 52ND St
Kenosha, WI 53144-3900

Phone

(262) 658-0902

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Alexander Steven Pokrass, PHARMD

Title

Pharmacist

Phone

(480) 452-9121

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1891158440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443900",
            "telephone_number": "262-658-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443900",
            "telephone_number": "262-658-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS HOLDINGS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "POKRASS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "480-452-9121",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "18051-40",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051299124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Aschenbrener, M.D., S.C.
• Scott B. Lundgren, D.O., S.C.
• Marney Scully, RN
• Michael J Scumaci, M.D.
• Kamesha Seagle, MSN
• Tyler W Secor, LPC
• Jeannie Seefeldt, CSW, CADC III
• Selective Hearing Centers, LC
• Selective Hearing Centers, LLC
• Emma Nicole Self, ATC

• Community/Retail Pharmacy in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.