OrganizationActive
Kmart Pharmacy
NPI 1104236843 · Community/Retail Pharmacy · Deming, NM
Kmart Pharmacy is a Community/Retail Pharmacy organization in Deming, NM (NPI 1104236843).
Provider details
- NPI number
- 1104236843
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ambrish Patel, Pharmacy Manager(405) 370-4669
- License
- RP00007752 (NM)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1205 E Pine St
Deming, NM 88030-7038
Phone: (575) 544-9008
Fax: (575) 544-4465
Street-level locationGet directions
Mailing address
1205 E Pine St
Deming, NM 88030-7038
Registry dates
- Enumerated
- 2014-05-03
- Last updated
- 2014-05-03
Frequently asked questions
- What is Kmart Pharmacy's NPI number?
- Kmart Pharmacy's National Provider Identifier (NPI) is 1104236843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kmart Pharmacy?
- Kmart Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kmart Pharmacy located?
- Kmart Pharmacy's practice location on file with NPPES is 1205 E Pine St, Deming, NM 88030-7038.
- What is Kmart Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Kmart Pharmacy is (575) 544-9008.
- Who is the authorized official for Kmart Pharmacy?
- The authorized official listed on Kmart Pharmacy's NPPES record is Ambrish Patel, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kmart Pharmacy's NPI active?
- Yes — Kmart Pharmacy's NPI (1104236843) is active in the NPPES registry as of the last update on 2014-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.