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KMART PHARMACY CORPORATION LLC
NPI 1639613607
Pharmacy in Sidney, NY

Active since December 11, 2016
171 DELAWARE AVE, SIDNEY, NY 13838(607) 563-9911(607) 563-7004 Get Directions Write a Review

NPPES record last updated: December 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kmart Pharmacy Corporation Llc NPPES

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

KMART PHARMACY CORPORATION LLC (NPI 1639613607) is a healthcare organization registered as a pharmacy in Sidney, New York and active in the NPI registry since December 2016. The organization lists Lynda Davidson, District Manager, as its authorized official.

NPPES Registry Identity

NPI1639613607
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKMART PHARMACY CORPORATION LLC
Location Address171 DELAWARE AVESidney, NY 13838-1349
Mailing Address171 Delaware AveSidney, NY 13838-1349 · (607) 563-9911 · Fax (607) 563-7004
Phone(607) 563-9911
Fax(607) 563-7004
Organization SubpartNo
Authorized OfficialLynda DavidsonDistrict Manager · (716) 982-1609
Enumeration DateDecember 11, 2016
✔ NPI 1639613607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · I062177
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
171 DELAWARE AVE, Sidney, NY 13838
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL J SCOLARO RPH
Pharmacist
171 DELAWARE AVE
SIDNEY, NY 13838
Delaware County (607) 563-9911
RENJBAR ZEBARI
Pharmacist
171 DELAWARE AVE
SIDNEY, NY 13838
Delaware County (607) 563-9911
DR. MAYUR AMIN DOCTOR OF PHARMACY
Pharmacist
171 DELAWARE AVE
SIDNEY, NY 13838
Delaware County (607) 563-9911

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 Corporation LLC's NPI number?

The NPI number for Kmart Pharmacy Corporation LLC is 1639613607. It was assigned to this organization in the NPPES registry on December 11, 2016.

Where is Kmart Pharmacy Corporation LLC located?

Kmart Pharmacy Corporation LLC is located at 171 Delaware Ave, Sidney, NY 13838. The listed phone number is (607) 563-9911.

What is Kmart Pharmacy Corporation LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Kmart Pharmacy Corporation LLC was last updated on December 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.