TRANSFORM KM LLC (NPI# 1235160219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235160219 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM LLC |
| Other Organization Name | KMART PHARMACY #4494 |
| Practice Address |
Pr 181 Km 3.5 Trujillo Alto Plaza Trujillo Alto PR 00976 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7877557710 |
| Practice Fax Number | 8473962907 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
17-F-1712 | PR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | 00000 | 05 | |
| PK | 2086496 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #4494 | Doing Business As Name - Organization |
| KMART PHARMACY4494 | 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 |
| 1053342030 | Transform Km LLC | Pharmacy | Pr 149 Y 584, Plaza Juana Diaz, Juana Diaz, PR 00795 | 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 |
| 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 |
| Street Address |
PR 181 KM 3.5 TRUJILLO ALTO PLAZA |
| City | TRUJILLO ALTO |
| State | PR |
| Zip Code | 00976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546369 | Caroll Lynn Garcia | Physical Therapist | Parque Terralinda Apartado 2902, Trujillo Alto, PR 00976 | 2020-10-21 |
| 1083225908 | Expand Md Management Systems Corp | Internal Medicine | Montebello Estates Calle 4 C15, Trujillo Alto, PR 00976 | 2020-08-13 |
| 1215553375 | Damarys Reyes | Naturopath | Carr.181 Expreso Trujillo Alto Km.4.4 Local #14, Centro Comercial Lago Alto, Trujillo Alto, PR 00976 | 2020-06-24 |
| 1649890542 | Jeniffer Borrero | Family Medicine | 3 Bosque Del Rio, Trujillo Alto, PR 00976 | 2020-04-21 |
| 1417583899 | Ana Mary Pineiro Salgado | Pharmacist | Pr 181 & Pr 850, Trujillo Alto, PR 00976 | 2020-03-18 |
| 1417581802 | Gregori Cruz-figueroa | Ambulance | Carr 181 Km 0 Hm 1, Bo Las Cuevas Sector Vacas Flacas, Trujillo Alto, PR 00976 | 2020-02-25 |
| 1588298954 | Hector Mercado | General Practice | Villas De Carraizo Calle 48 R-9, Trujillo Alto, PR 00976 | 2020-02-25 |
| 1164054201 | Alexis Xavier Curet Burleson | Student in an Organized Health Care Education/Training Program | Calle Bianca G-5, Urb. Andrea's Court, Trujillo Alto, PR 00976 | 2020-02-06 |
| 1417593559 | Tato's Saving Lives Ambulance Services Inc. | Ambulance | Bariio Santo Domingo, Calle 4 # 288 Saint Just, Trujillo Alto, PR 00976 | 2019-11-25 |
| 1083257539 | Jackeline Perez Carrasquillo I | Speech-Language Pathologist | Urb. Villas De Trujillo Alto, Calle 2 Num 29 A, Trujillo Alto, PR 00976 | 2019-10-28 |
| Find all providers in zip 00976 | ||||
| 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 |
|---|---|---|---|---|
| 1235634007 | Aids Healthcare Foundation | Pharmacy | State Road 848 Km 1.0 Saint Just, Trujillo Alto, PR 00978 | 2018-03-26 |
| 1629525563 | Next G Corp | Pharmacy | Carr 181 Km 3.4 Trujillo Alto Plaza, Trujillo Alto, PR 00976 | 2016-09-08 |
| 1922481407 | Pharmacare, Inc. | Pharmacy | Carr 852 Km 0.1, Interseccion Carr 181 Pr, Trujillo Alto, PR 00976 | 2015-07-02 |
| 1063667038 | Gynalar Inc. | Pharmacy | Centro Comercial Ciudad Universitaria, Gynalar Inc., Trujillo Alto, PR 00976-2241 | 2008-11-18 |
| 1659588770 | Farmacia Round Hill | Pharmacy | Calle Orquidea, Round Hill Shopping Center, Trujillo Alto, PR 00976 | 2007-05-17 |
| 1538224266 | Farmacia Yarmarie | Pharmacy | Carr. 852 Km 0.1 Int Carr. 181 Pr, Trujillo Alto, PR 00977 | 2006-12-22 |
| 1215090931 | Pmc Marketing Corp | Pharmacy | Trujillo Alto Plaza, Trujillo Alto, PR 00976 | 2006-12-18 |
| 1699837252 | Farmacia Carraizo | Pharmacy | Carr 844 Km 5.6, Trujillo Alto, PA 00976 | 2006-12-13 |
| 1770960478 | Neomed Center, Inc. | Pharmacy | 130 Calle Carite, Urb. Lago Alto, Trujillo Alto, PR 00976 | 2015-05-01 |
| 1003027731 | Ges Farmacia Trujillo Alto | Pharmacy | 130 Calle Carite, Urb Lago Alto, Trujillo Alto, PR 00976-4019 | 2007-05-24 |
| Find all providers in TRUJILLO ALTO | ||||
| City | TRUJILLO ALTO |
| Zip Code | 00976 |
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.