OrganizationActive
Kmart
NPI 1124456884 · Point of Service · Ironwood, MI
Kmart is a Point of Service organization in Ironwood, MI (NPI 1124456884).
Provider details
- NPI number
- 1124456884
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kelechi Aguwa, Pharmacy Manager(240) 994-3121
- License
- 530241688 (MI)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(77/100 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
613 First National St
Ironwood, MI 49938-3329
Phone: (240) 994-3121
Street-level locationGet directions
Mailing address
613 First National St
Ironwood, MI 49938-3329
Other names (DBA / former)
- Other name
- Kmart Pharmacy
Registry dates
- Enumerated
- 2013-10-16
- Last updated
- 2013-10-16
Frequently asked questions
- What is Kmart's NPI number?
- Kmart's National Provider Identifier (NPI) is 1124456884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kmart?
- Kmart is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Kmart located?
- Kmart's practice location on file with NPPES is 613 First National St, Ironwood, MI 49938-3329.
- What is Kmart's phone number?
- The practice phone number listed in the NPPES registry for Kmart is (240) 994-3121.
- Who is the authorized official for Kmart?
- The authorized official listed on Kmart's NPPES record is Kelechi Aguwa, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kmart's NPI active?
- Yes — Kmart's NPI (1124456884) is active in the NPPES registry as of the last update on 2013-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.