TRANSFORM KM STORES OF ILLINOIS LLC (NPI# 1033140181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033140181 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM STORES OF ILLINOIS LLC |
| Other Organization Name | KMART PHARMACY4381 |
| Practice Address |
7325 W 79th St Bridgeview IL 60455-1581 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7085946611 |
| Practice Fax Number | 8473962879 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-04-09 |
| NPI Deactivation Date | 01/15/2019 |
| NPI Reactivation Date | 2019-01-18 |
| Authorized Official Name | JENNIFER SPEARES LEHMAN (DVP OF PHARMACY) |
| Authorized Official Telephone | 8472865116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-015200 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2016844 | 01 | |
| IL | 611448897381 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #4381 | Doing Business As Name - Organization |
| KMART PHARMACY4381 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720019888 | Transform Km Stores of Illinois LLC | Pharmacy | 1155 E Oakton St, Des Plaines, IL 60018-2046 | 2006-07-06 |
| 1679511109 | Transform Km Stores of Illinois LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Road Fc-419b, Hoffman Estates, IL 60179-0001 | 2006-06-04 |
| 1376897991 | Transform Km Stores of Illinois LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd # Bc260a, Hoffman Estates, IL 60179-0001 | 2012-11-05 |
| Street Address |
7325 W 79TH ST |
| City | BRIDGEVIEW |
| State | IL |
| Zip Code | 60455-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649604034 | Mihaela Popa | Pharmacist | 7325 W 79th St, Bridgeview, IL 60455-1581 | 2013-08-21 |
| 1093075541 | Kathleen J Porter | Pharmacist | 7325 W 79th St, Bridgeview, IL 60455 | 2012-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675907 | Hanin R Ahmad | Optometrist | 430 Village Center Dr., Burr Ridge, IL 60455 | 2017-08-16 |
| 1467975243 | Magdi Ibrahim | Dentist | 7236 W 87th St, Brideview, IL 60455 | 2017-07-24 |
| 1649529736 | Elmusa Chiropractic, Inc. | Chiropractor | 7271 W. 87th St., Bridgeview, IL 60455 | 2012-09-05 |
| 1962762476 | Ahmad Abuatiyeh | Pharmacist | 7807 S. Sholer Ave, Bridgeview, IL 60455 | 2012-05-18 |
| 1700174059 | Albert Steele Smith | Occupational Therapist | 8540 Harlem, Bridgeview, IL 60455 | 2011-07-20 |
| 1295057073 | Heather Vargo Ballack | Pharmacist | 7235 W. 79th Street, Bridgeview, IL 60455 | 2010-02-22 |
| 1184878936 | Rhonda I Khouri,d.d.s/p.s | Dentist | 7257 W. 87th Street, Bridgeview, IL 60455 | 2008-11-06 |
| 1932380649 | Reems Clinic & Institute of Medicine S.c. | Internal Medicine | 7251 W 87th Street, Bridgeview, IL 60455 | 2007-11-21 |
| 1417050311 | Frederick John Kahle | Optometrist | 10260 S. Harlem Ave, Wal-mart Vision Center, Bridgeview, IL 60455 | 2006-09-06 |
| 1013926856 | Occupational Health Centers of Illinois PC | Clinic/Center | 8755 South Harlem Avenue, Bridgeview, IL 60455 | 2006-08-07 |
| Find all providers in zip 60455 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578737409 | 87th & Harlem Crescent Pharmacy Inc | Pharmacy | 7261 W 87th St, Bridgeview, IL 60455-1821 | 2008-04-22 |
| 1720182660 | Highland Park Cvs, L.L.C. | Pharmacy | 8625 S Harlem Ave, Bridgeview, IL 60455-1801 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEVIEW |
| Zip Code | 60455 |
Please comment or provide details below to improve the information on TRANSFORM KM STORES OF ILLINOIS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.