TRANSFORM KM LLC (NPI# 1376574350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376574350 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM LLC |
| Other Organization Name | KMART PHARMACY #4399 |
| Practice Address |
14014 Connecticut Ave Silver Spring MD 20906-2922 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 3014603402 |
| Practice Fax Number | 3018718557 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-09-21 |
| 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 | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P01696 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE IMU | PHC150 | 01 |
| MD | MEDICARE NSC | 7748430058 | 01 |
| MD | 754742100 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #4399 | Doing Business As Name - Organization |
| KMART PHARMACY4399 | 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 |
| 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 |
14014 CONNECTICUT AVE |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20906-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114241304 | Luanna Marie Craven | Pharmacist | 14014 Connecticut Ave, Silver Spring, MD 20906-2922 | 2010-03-17 |
| 1851615280 | Trupti Umesh Agnihotri | Pharmacist | 14014 Connecticut Ave, Silver Spring, MD 20906-2922 | 2010-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255894739 | Haika Yonah Mndambi | Home Health Aide | 2414 Sun Valley Circle, Silver Spring, MD 20906 | 2019-04-10 |
| 1194205153 | Khadijah Keita | Pharmacy Technician | 1512 Woodwell Rd, Silver Spring, MD 20906 | 2018-08-20 |
| 1093233314 | Elizabeth Darroch | Physical Therapist | 3305 North Leisure World Blvd, Silver Spring, MD 20906 | 2017-09-07 |
| 1043699937 | Danielle Leslie Porter | Registered Nurse | 2601 Camelback Ln Apt 3, Silver Spring, MD 20906 | 2015-05-25 |
| 1821418591 | Bertha Nyagaya Nyagaya-wojnarski | Nurse Practitioner | 14511 Layhill Road, Silver Spring, MD 20906 | 2014-04-22 |
| 1467875989 | Gifter Assa | Home Health Aide | 14225 Grand Pre Rd Apt 202, Silver Spring, MD 20906 | 2014-02-04 |
| 1649601923 | Global H Care | Home Health | 3319 Weeping Willow Dr Apt 12, Silver Spring, MD 20906 | 2013-12-11 |
| 1750715074 | Jessica I Uagbor Roblin | Physical Therapist | 3305 N Leisure World Blvd Ste 200, Silver Spring, MD 20906 | 2013-08-22 |
| 1922431428 | Dental Center of Aspen Hill, LLC | Dentist | 13957 Connecticut Avenue, Suite 302, Silver Spring, MD 20906 | 2013-08-20 |
| 1831535772 | Solomon Wachira | Home Health Aide | 2527 Glenalla Ave, Apt 102, Silver Spring, MD 20906 | 2013-05-20 |
| Find all providers in zip 20906 | ||||
| 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 |
|---|---|---|---|---|
| 1750942512 | City Access LLC | Pharmacy | 11466 Cherry Hill Road, Silver Spring, MD 20705 | 2019-06-24 |
| 1407319692 | Briggs Chaney LLC | Pharmacy | 13840 Outlet Dr, Silver Spring, MD 20904-4970 | 2019-04-13 |
| 1326552886 | Mgrx LLC | Pharmacy | 2415 Musgrove Rd Ste 101, Silver Spring, MD 20904-5221 | 2017-11-20 |
| 1174951172 | Apex Pharmacy LLC | Pharmacy | 11412 Georgia Ave, Silver Spring, MD 20902-1907 | 2013-10-29 |
| 1205930138 | Maryland Cvs Pharmacy LLC | Pharmacy | 10141 Colesville Rd, Silver Spring, MD 20901-2457 | 2006-09-12 |
| 1033213954 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 12209 Veirs Mill Rd, Silver Spring, MD 20906-4506 | 2006-09-12 |
| 1215031133 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 10113 New Hampshire Ave, Silver Spring, MD 20903-1713 | 2006-09-12 |
| 1194760397 | Union Pharmacy Inc | Pharmacy | 13848 Old Columbia Pike, Silver Spring, MD 20904-4554 | 2006-06-19 |
| 1104342559 | Walgreen Co | Pharmacy | 8701 Georgia Ave Ste 100, Silver Spring, MD 20910-3736 | 2017-08-17 |
| 1518202365 | Medstar Pharmacies, Inc. | Pharmacy | 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 | 2012-12-05 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20906 |
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.