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KMART PHARMACY
NPI 1104236843
Pharmacy - Community/Retail Pharmacy in Deming, NM

Active since May 03, 2014
1205 E PINE ST, DEMING, NM 88030(575) 544-9008(575) 544-4465 Get Directions Write a Review

NPPES record last updated: May 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kmart Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KMART PHARMACY (NPI 1104236843) is a healthcare organization registered as a community/retail pharmacy in Deming, New Mexico and active in the NPI registry since May 2014. The organization lists Ambrish N Patel, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1104236843
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKMART PHARMACY
Location Address1205 E PINE STDeming, NM 88030-7038
Mailing Address1205 E Pine StDeming, NM 88030-7038 · (575) 544-9008 · Fax (575) 544-4465
Phone(575) 544-9008
Fax(575) 544-4465
Organization SubpartNo
Authorized OfficialAmbrish N PatelPharmacy Manager · (405) 370-4669
Enumeration DateMay 3, 2014
✔ NPI 1104236843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NM · RP00007752
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1205 E PINE ST, Deming, NM 88030
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Other Identifiers 1

Other1619908753NM · Pharmacy Npi Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kmart Pharmacy's NPI number?

The NPI number for Kmart Pharmacy is 1104236843. It was assigned to this organization in the NPPES registry on May 3, 2014.

Where is Kmart Pharmacy located?

Kmart Pharmacy is located at 1205 E Pine St, Deming, NM 88030. The listed phone number is (575) 544-9008.

What is Kmart Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Kmart Pharmacy was last updated on May 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.