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Kmart 4062

Pharmacy in Danville, VA · enumerated 2016 · authorized official Danny Stevens, Pharmacy Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790148617

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Registry record

Entity type Organization (Type 2)
Legal business name Kmart 4062
Practice address 3311 Riverside Dr, Danville, VA, 24541
Phone (434) 799-0162
Fax (847) 396-2798
Enumeration date Mar 29, 2016
Last updated in NPPES Mar 29, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers · License 0202010116 (VA) Primary

Authorized official

Name Danny Stevens
Title Pharmacy Manager
Phone (434) 799-0162

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-03-29. Verify at npiregistry.cms.hhs.gov.
Where is Kmart 4062 located?
The practice location on file with NPPES is in Danville, VA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-29.