TRANSFORM KM LLC (NPI# 1699706689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699706689 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM LLC |
| Other Organization Name | KMART PHARMACY7784 |
| Practice Address |
Pr 2 Km 29.7 Centro Gran Caribe 16 II Vega Alta PR 00692 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7872707730 |
| Practice Fax Number | 8473963199 |
| 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-1890 | PR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | 00000 | 05 | |
| PK | 2086940 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #7784 | Doing Business As Name - Organization |
| KMART PHARMACY7784 | 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 |
| 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 2 KM 29.7 CENTRO GRAN CARIBE 16 II |
| City | VEGA ALTA |
| State | PR |
| Zip Code | 00692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588561 | Evelyn Tellado | Physician Assistant | Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692 | 2020-11-06 |
| 1457952699 | Optica Lm LLC | Durable Medical Equipment & Medical Supplies | Palmas De Cerro Gordo 144, Calle Real G-35, Vega Alta, PR 00692 | 2020-11-04 |
| 1396357802 | Morovis Community Health Center, Inc. | Clinic/Center | Bo. Espinoza, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-08-18 |
| 1831707546 | Morovis Community Health Center Inc | Clinic/Center | Bo. Espinosa, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-07-20 |
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1629698196 | Wildalis Novoa-vidot | Student in an Organized Health Care Education/Training Program | Bo Santa Rosa Calle Las Violetas Int Finca#1, Vega Alta, PR 00692 | 2020-04-24 |
| 1073143780 | Andre Medina-sanchez | General Practice | Carr #2 Km 31.9, Bo. Bajura, Vega Alta, PR 00692 | 2020-01-22 |
| 1437797396 | Vega Alta X Ray | Radiology | Urb. Santa Rita, H48 Interior, Vega Alta, PR 00692 | 2019-12-11 |
| 1083251367 | Carmen Milagros Garcia Barreto | Pharmacist | Bo Espinosa Carr 2 Km 30 H 1, Vega Alta, PR 00692 | 2019-12-05 |
| 1255976676 | Carmen M. Navedo-rosado | Social Worker | Calle Higuero #46, Bo. Bajura Almirante, Vega Alta, PR 00692 | 2019-11-08 |
| Find all providers in zip 00692 | ||||
| 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 |
|---|---|---|---|---|
| 1891341814 | Caribbean Pharmacies LLC | Pharmacy | A7 Calle 1, Urb Las Colinas, Vega Alta, PR 00692 | 2019-08-15 |
| 1417369679 | Nueva Farmacia Santa Ana, Inc. | Pharmacy | B3 Calle 1, Urbanizacion Santa Ana, Vega Alta, PR 00692 | 2014-05-22 |
| 1235302464 | Walgreen Co. | Pharmacy | Carr. Pr #2 Int. Pr .694, Km 28.5, Sector Espinosa, Vega Alta, PR 00692 | 2008-04-09 |
| 1033388897 | Centro De Medicina Primaria Va | Pharmacy | Calle Luis Munoz Rivera 3, Vega Alta, PR 00692 | 2008-02-26 |
| 1386766632 | Farmacia Sant Rita | Pharmacy | Carr No 2 Km 29 6, Vega Alta, PR 00692-0330 | 2007-04-06 |
| 1275661472 | Professional Drug # 2 | Pharmacy | Road 693 Esquina Calle 7, Bo Brenas, Vega Alta, PR 00692 | 2007-03-01 |
| 1770628455 | Super Farmacia Santa Ana | Pharmacy | Carretera # 2 Km 29.1, Parcelas Carmen, Vega Alta, PR 00692 | 2007-02-21 |
| 1548304926 | Luis Javier Amadeo | Pharmacy | 72 Calle Munoz Rivera, Vega Alta, PR 00692-6528 | 2007-02-17 |
| 1760533764 | Beatriz Navarro Montesino | Pharmacy | Carr 690 Km 3 2, Vega Alta, PR 00692 | 2007-01-16 |
| 1457413296 | Pmc Marketing Corp | Pharmacy | Plaza Caribe Mall, Vega Alta, PR 00692 | 2006-12-15 |
| Find all providers in VEGA ALTA | ||||
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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.