KMART PHRAMACY
NPI 1891159976
Point of Service in Pueblo, CO

Q: What is Kmart Phramacy's NPI number?

The NPI number for Kmart Phramacy is 1891159976. It was assigned to this organization in the NPPES registry on April 5, 2016.

Q: What is Kmart Phramacy'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 Phramacy was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 05, 2016

3415 N ELIZABETH ST, PUEBLO, CO 81008(719) 545-0707(847) 396-2896 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kmart Phramacy NPPES

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

KMART PHRAMACY (NPI 1891159976) is a healthcare organization registered as a point of service in Pueblo, Colorado and active in the NPI registry since April 2016. The organization lists Seyed Abotaleb Alavi, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1891159976

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameKMART PHRAMACY

Location Address3415 N ELIZABETH STPueblo, CO 81008-1156

Mailing Address206 S Golfwood Dr WPueblo, CO 81007-3674 · (719) 568-0470 · Fax (847) 369-2896

Phone(719) 545-0707

Fax(847) 396-2896

Organization SubpartNo

Authorized OfficialSeyed Abotaleb AlaviPharmacist · (719) 568-0470

Enumeration DateApril 5, 2016

✔ NPI 1891159976 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 CO · 0013355

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.

3415 N ELIZABETH ST, Pueblo, CO 81008

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Other Providers at the Same Location NPPES

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

DALE A REBER R. PH.

Pharmacist

3415 N ELIZABETH ST
PUEBLO, CO 81008

Pueblo County (719) 545-0707

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 Phramacy's NPI number?

The NPI number for Kmart Phramacy is 1891159976. It was assigned to this organization in the NPPES registry on April 5, 2016.

Where is Kmart Phramacy located?

Kmart Phramacy is located at 3415 N Elizabeth St, Pueblo, CO 81008. The listed phone number is (719) 545-0707.

What is Kmart Phramacy'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 Phramacy was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.