TRANSFORM KM LLC (NPI# 1053342030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053342030 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM LLC |
| Other Organization Name | KMART PHARMACY #3993 |
| Practice Address |
Pr 149 Y 584 Plaza Juana Diaz Juana Diaz PR 00795 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7872600530 |
| Practice Fax Number | 8473962784 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | JENNIFER SPEARES LEHMAN (HEAD OF PHARMACY) |
| Authorized Official Telephone | 8472865116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
17-F-1805 | PR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2086678 | 01 | |
| PR | 00000 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #3993 | Doing Business As Name - Organization |
| KMART PHARMACY3993 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295041341 | Transform Km LLC | Pharmacy | 3333 Beverly Rd # Bc260a, Hoffman Estates, IL 60179-0001 | 2010-08-27 |
| 1396947248 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 250 W 34th St, New York, NY 10119-2152 | 2007-06-04 |
| 1700817772 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 18 Mark Plz, Kingston, PA 18704-3104 | 2006-07-06 |
| 1295766285 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 1 K Mart Plz, Greenville, SC 29605-4442 | 2006-07-06 |
| 1134150287 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 1815 21st St, Lewiston, ID 83501-4103 | 2006-07-06 |
| 1659302636 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 328 Ennis Ln, Towanda, PA 18848-9212 | 2006-07-06 |
| 1225069362 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 4100 52nd St, Kenosha, WI 53144-3900 | 2006-07-06 |
| 1649201781 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 770 Broadway, New York, NY 10003-9522 | 2006-07-06 |
| 1699706689 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | Pr 2 Km 29.7, Centro Gran Caribe 16 II, Vega Alta, PR 00692 | 2006-07-06 |
| 1073544136 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 1209 Russ Ave, Waynesville, NC 28786-2947 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRANSFORM KM LLC | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Washington State Corporations | TRANSFORM KM LLC | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| New York State Corporations | TRANSFORM KM LLC | 28 Liberty Street, New York, New York 10005 |
| Iowa Business Entities | TRANSFORM KM LLC | 1170 Kane Concourse, Suite 200, Bay Harbor Islands, FL 33154 |
| Virginia Business Entities | Transform KM LLC | 3333 Beverly Rd, Hoffman Estates, Illinois 60179-0001 |
| Connecticut Business Registrations | TRANSFORM KM LLC | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Street Address |
PR 149 Y 584 PLAZA JUANA DIAZ |
| City | JUANA DIAZ |
| State | PR |
| Zip Code | 00795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468707 | Wellness 360 Corp | Clinic/Center | Road 1 Km 117.7, Ward Arus, Juana Diaz, PR 00795 | 2020-05-08 |
| 1275165284 | Jonathan Olivera Morales | General Practice | Calle Desvio Victor Cruz #6, Juana Diaz, PR 00795 | 2020-02-07 |
| 1518502186 | Ana Gabriela Rivera-pagan | Student in an Organized Health Care Education/Training Program | Urb Valle Hucares, A22 La Caoba, Juana Diaz, PR 00795 | 2019-11-07 |
| 1518500305 | Hector Javier Cora | Physician Assistant | Urb. Villa Del Sol D13, Calle Bartolomei, Juana Diaz, PR 00795 | 2019-10-24 |
| 1518517671 | Gabriela Maria Torres Rosario | Clinical Ethicist | Calle Hostos #5b, Juana Diaz, PR 00795 | 2019-09-19 |
| 1437709227 | Nydia Garcia | General Practice | Guayabal Professional Building, Suite 2001, Juana Diaz, PR 00795 | 2019-09-13 |
| 1457900268 | Centro Ararat Inc | Family Medicine | 23 Calle De Hostos, Juana Diaz, PR 00795 | 2019-09-05 |
| 1659929347 | Vanesa Laboy Colon | Pharmacist | Cvs Pharmacy 1901 Ave Rexach, San Juan, PR 00795 | 2019-08-27 |
| 1801458195 | Maria Gertrudis Penalba | Registered Nurse | 240 Calle 16, Piedra Aguza, Juana Diaz, PR 00795 | 2019-07-08 |
| 1629633995 | Clinica Terapeutica Del Lenguaje | Speech-Language Pathologist | 5 Calle Munoz Rivera Esq Dr Veve, Juana Diaz, PR 00795 | 2019-05-02 |
| Find all providers in zip 00795 | ||||
| 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 |
|---|---|---|---|---|
| 1629683859 | Empresas Del Sur | Pharmacy | Calle La Cruz #3 Suite #1, Juana Diaz, PR 00795-9309 | 2020-09-14 |
| 1932657558 | Farmacia Sonia J D Inc | Pharmacy | Carr 149 Km 66.9 Bo. Lomas, Juana Diaz, PR 00795 | 2016-09-12 |
| 1528372703 | Farmacia Liana | Pharmacy | La Fe Plaza Carr 510 Km 2.9 Bo Sabana Llana, Juana Diaz, PR 00795 | 2010-07-30 |
| 1588789747 | Farmacia Ledis | Pharmacy | Bo. Sabanallana, Carr. 510 Km 2.1, Juana Diaz, PR 00795 | 2007-03-20 |
| 1851442750 | Farmacia Kiara Crl | Pharmacy | Carr 149 Ramal 1 Bo. Capitanejo, Sector Pastillo, Juana Diaz, PR 00795 | 2007-01-16 |
| 1922199793 | Elena Munoz Alvarado | Pharmacy | Comercio 102, Juana Diaz, PR 00795 | 2006-09-27 |
| 1154497477 | Farmacia Sonia J.d. Inc | Pharmacy | 61 Calle Comercio, Juana Diaz, PR 00795 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009704 | Farmacia La Candelaria Inc | Pharmacy | Carr 107 Km 3.0 Comercial Borinquen Tower Plaza, Aguadilla, PR 00603-0000 | 2020-10-05 |
| 1558979823 | Super Farmacia Corcovada 2 | Pharmacy | Carr 493 Km 1.2, Bo. Carrizales, Hatillo, PR 00659 | 2020-07-22 |
| 1649898875 | Grupo Ng L.l.c | Pharmacy | Plaza De Hostos Local 8 Carr #2 Km 151, Mayaguez, PR 00682 | 2020-07-14 |
| 1417574997 | Crecex LLC | Pharmacy | Alturas De Yauco, 7 A-13, Yauco, PR 00698-2750 | 2020-06-30 |
| 1902420672 | Kpharma, LLC | Pharmacy | Centro Comercial El Cafetal Carr 368 Km 11.8, Yauco, PR 00698 | 2020-05-29 |
| 1043833718 | Farmacia Rivera | Pharmacy | Urb. Santa Teresita Calle Santa Genoveva #3251, Esquina Emilio Fagot, Ponce, PR 00730 | 2020-05-28 |
| 1487276317 | Ana I Rodriguez-rivero | Pharmacy | Carr #14 Km 12 Bo. Rincon Sector Las Lomas, Cayey, PR 00736-0073 | 2020-05-14 |
| 1184259244 | Farmacia Belmonte Del Oeste Inc | Pharmacy | Carr. 315 Km. 1.0 Ave Flamboyanes Interior, Interseccion Ave. 65 De Infanteria, Lajas, PR 00667-0667 | 2020-03-10 |
| 1407480163 | Cpf Group, LLC. | Pharmacy | Carr. 335 Km 1.5 C & C Professional Plaza, Suite 3 Bo. Barinas, Yauco, PR 00698-4110 | 2020-03-02 |
| 1285267864 | Farmacia Ajl LLC | Pharmacy | Carr 108 Km 2.6, Mayaguez, PR 00682 | 2020-02-21 |
| Find all providers with the same taxonomy | ||||
| City | JUANA DIAZ |
| Zip Code | 00795 |
Please comment or provide details below to improve the information on TRANSFORM KM 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.