TRANSFORM KM LLC (NPI# 1396947248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396947248 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM LLC |
| Other Organization Name | KMART PHARMACY #7749 |
| Practice Address |
250 W 34th St New York NY 10119-2152 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 2127601242 |
| Practice Fax Number | 8473963190 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2007-06-04 |
| 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 |
023053 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2061168 | 01 | |
| NY | 01681429 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #7749 | Doing Business As Name - Organization |
| KMART PHARMACY7749 | 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 |
| 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 |
| 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 |
250 W 34TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10119-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588112692 | Liang Zhuo | Pharmacist | 250 W 34th St, New York, NY 10119-0002 | 2016-09-18 |
| 1336517481 | Waqar Yousuf | Pharmacist | 250 W 34th St, New York, NY 10119-0002 | 2015-09-07 |
| 1992107155 | Jiyoon Jung | Pharmacist | 250 W 34th St, New York, NY 10119-0002 | 2014-09-18 |
| 1407270390 | Kingston Yuen | Pharmacist | 250 W 34th St, 1 Penn Plaza, New York, NY 10119-0002 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174933352 | Irina Boz | Registered Nurse | One Penn Plaza, Suite 725, New York, NY 10119 | 2014-04-28 |
| 1083955041 | Theodora C Raft | Nurse Practitioner | Optum One Penn Plaza, New York, NY 10119 | 2013-03-14 |
| 1912194358 | Rebeca Clerville Deratus | Nurse Practitioner | 1 Penn Plaza 7th Fl Ste 725, Evercare United Healthcare, New York, NY 10119 | 2007-10-01 |
| 1376759928 | Elizabeth M White | Nurse Practitioner | One Penn Plaza, 8th Floor, New York, NY 10119 | 2007-05-14 |
| 1457566291 | Ella Kats | Nurse Practitioner | Evercare - United Healthcare, 1 Penn Plaza, 7th Fl. Ste.725, New York, NY 10119 | 2007-05-14 |
| 1518007152 | Yonette R Hercules | Physician Assistant | One Penn Plaza, 7th Fl, Suite 725, New York, NY 10119 | 2007-02-06 |
| 1497806376 | Herminia Nueva Espana | Nurse Practitioner | 1 Penn Plaza 8th Fl, Optum, New York, NY 10119 | 2007-01-16 |
| 1285782367 | Rilande Herard | Physician Assistant | 1 Penn Plaza, 7th Fl, Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1629126719 | Any Itty | Nurse Practitioner | 1 Penn Plaza, 7th Fl. Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1174671267 | Christine Kenny | Nurse Practitioner | One Penn Plaza, 7th Fl, Ste 725, Evercare, New York, NY 10119 | 2007-01-08 |
| Find all providers in zip 10119 | ||||
| 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] |
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|---|---|---|---|---|
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| 1144839895 | Carehart Inc | Pharmacy | 41 7th Ave S, New York, NY 10014-4528 | 2020-07-29 |
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| 1881210680 | Vs Pharmacy Corp | Pharmacy | 2301 2nd Ave, New York, NY 10035-4121 | 2020-06-18 |
| 1083248694 | Madison Apothecary Inc. | Pharmacy | 1114 Madison Avenue, New York, NY 10028 | 2020-02-24 |
| 1407489222 | Valentina's Pharmacy Inc | Pharmacy | 14 W 125th St, New York, NY 10027-4502 | 2020-02-20 |
| 1669005443 | Lenox Chemists Inc | Pharmacy | 422 E 75th St, New York, NY 10021-3432 | 2020-02-19 |
| 1952932360 | Tree Pharmacy Inc | Pharmacy | 2423 Adam Clayton Powell Jr Blvd, New York, NY 10030-1607 | 2020-02-04 |
| 1316583800 | Tlz Drug Corp | Pharmacy | 2518 Adam Clayton Powell Jr Blvd, New York, NY 10039-4102 | 2019-11-20 |
| Find all providers in NEW YORK | ||||
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| 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.