TRANSFORM KM OPERATIONS LLC (NPI# 1619908696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619908696 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM OPERATIONS LLC |
| Other Organization Name | KMART PHARMACY #7699 |
| Practice Address |
1745 Quentin Rd Lebanon PA 17042-7435 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7172746779 |
| Practice Fax Number | 8473963176 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-05-13 |
| 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 |
PP414999L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007503260167 | 05 | |
| PA | 1007662280032 | 05 | |
| PK | 2082405 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #7699 | Doing Business As Name - Organization |
| KMART PHARMACY 7699 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154524981 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | Plaza Guaynabo Ave Francisco Carbajal Bo Frailes, Guaynabo, PR 00969 | 2007-06-08 |
| 1366473324 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 502 Pike St, Marietta, OH 45750-3332 | 2006-07-06 |
| 1255362232 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 400 N Best Ave, Walnutport, PA 18088-1208 | 2006-07-06 |
| 1023049095 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 1405 S Grand Ave, Charles City, IA 50616-3670 | 2006-07-06 |
| 1194756247 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 171 Delaware Ave, Sidney, NY 13838-1349 | 2006-07-06 |
| 1336170307 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 3975 Columbia Ave, Columbia, PA 17512-9025 | 2006-07-06 |
| 1144251109 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 1501 Highway 169 N, Algona, IA 50511-1003 | 2006-07-06 |
| 1548291669 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | 7350 Manatee Ave W, Bradenton, FL 34209-3441 | 2006-07-06 |
| 1417988494 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | Pr 2 Km 149.5 Bo Sabanetas, Mayaguez, PR 00680 | 2006-07-06 |
| 1326079302 | Transform Km Operations LLC | Durable Medical Equipment & Medical Supplies | Rexville Town Center Pr 167 Bo Pajaros, Bayamon, PR 00956 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Transform KM Operations LLC | 3333 Beverly Road, General Counsel, Hoffman Estates, IL 60179 |
| Iowa Business Entities | TRANSFORM KM OPERATIONS LLC | 1170 Kane Concourse, Suite 200, Bay Harbor Islands, FL 33154 |
| Oregon Corporations, Companies and Business Names | TRANSFORM KM OPERATIONS LLC | 3333 Beverly Rd, Hoffman Estates, IL 60179 |
| Washington State Corporations | TRANSFORM KM OPERATIONS LLC | 3333 Beverly Road, Hoffman Estates, IL 60179 |
| Street Address |
1745 QUENTIN RD |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588027007 | Jacob Moore | Pharmacist | 1745 Quentin Rd, Lebanon, PA 17042-7435 | 2016-04-01 |
| 1275917767 | Michelle Klesser | Pharmacist | 1745 Quentin Rd, Lebanon, PA 17042-7435 | 2015-07-14 |
| 1497181093 | Daril Jo Miller | Pharmacist | 1745 Quentin Rd, Lebanon, PA 17042-7435 | 2013-09-16 |
| 1376867424 | Joshua Paul Bombax | Pharmacist | 1745 Quentin Rd, Lebanon, PA 17042-7435 | 2010-03-18 |
| 1013249341 | David James Young Jr. | Pharmacist | 1745 Quentin Rd, Lebanon, PA 17042-7435 | 2010-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1588212096 | Kratzer Pharmacy Inc. | Pharmacy | 118 W Main St Ste D, Lebanon, OH 45036-2098 | 2019-08-28 |
| 1235690835 | Stauffers Drug Store Ltd | Pharmacy | 920 Church St Ste 100, Lebanon, PA 17046-4656 | 2019-03-27 |
| 1073929220 | Genoa Healthcare, LLC | Pharmacy | 975b Kingsview Dr, Lebanon, OH 45036-9562 | 2014-07-09 |
| 1598975013 | Mid Valley Healthcare Inc | Pharmacy | 675 N 5th Street, Lebanon, OR 97355-2875 | 2007-05-23 |
| 1386739225 | Prescriptions Plus | Pharmacy | 753 True Value Dr, Lebanon, IL 62254-1593 | 2006-10-04 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1124126735 | Pennsylvania Cvs Pahrmacy, L.L.C. | Pharmacy | 1760 Quention Rd Cedar Crest Square, Lebanon, PA 17042 | 2006-09-20 |
| 1720185333 | Wilkinson Pharmacy Inc | Pharmacy | 143 W Elm, Lebanon, MO 65536 | 2006-09-19 |
| 1609979319 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 1228 W Main St, Lebanon, TN 37087-3208 | 2006-09-07 |
| 1649373358 | Ohio Cvs Stores LLC | Pharmacy | 605 Columbus Ave, Lebanon, OH 45036-1605 | 2006-09-07 |
| Find all providers in LEBANON | ||||
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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.