KMART PHARMACY
NPI 1124456884
Point of Service in Ironwood, MI

Q: What is Kmart's NPI number?

The NPI number for Kmart is 1124456884. It was assigned to this organization in the NPPES registry on October 16, 2013. The provider is also known as Kmart Pharmacy.

Q: What is Kmart's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Q: When was this NPI record last updated?

The NPPES record for Kmart was last updated on October 16, 2013. 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.

Active since October 16, 2013

613 FIRST NATIONAL ST, IRONWOOD, MI 49938(240) 994-3121 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kmart Pharmacy NPPES

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

KMART PHARMACY (NPI 1124456884) is a healthcare organization registered as a point of service in Ironwood, Michigan and active in the NPI registry since October 2013. The organization lists Kelechi A Aguwa, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1124456884

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameKMART

Location Address613 FIRST NATIONAL STIronwood, MI 49938-3329

Mailing Address613 First National StIronwood, MI 49938-3329 · (240) 994-3121

Phone(240) 994-3121

Organization SubpartNo

Authorized OfficialKelechi A AguwaPharmacy Manager · (240) 994-3121

Enumeration DateOctober 16, 2013

✔ NPI 1124456884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in MI · 530241688

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

613 FIRST NATIONAL ST, Ironwood, MI 49938

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Other Names 1

Other NameKmart Pharmacy

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's NPI number?

The NPI number for Kmart is 1124456884. It was assigned to this organization in the NPPES registry on October 16, 2013. The provider is also known as Kmart Pharmacy.

Where is Kmart located?

Kmart is located at 613 First National St, Ironwood, MI 49938. The listed phone number is (240) 994-3121.

What is Kmart's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Kmart was last updated on October 16, 2013. 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.