TRANSFORM KM LLC (NPI# 1144251125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144251125 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM LLC |
| Other Organization Name | KMART PHARMACY #7783 |
| Practice Address |
525 Calle Calaf Ste 101 San Juan PR 00918-1373 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7872822291 |
| Practice Fax Number | 8473963198 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
17-F-1764 | PR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | 00000 | 05 | |
| PR | MEDICARE NSC | 7748430018 | 01 |
| PR | MEDICARE IMU | PHC150 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #7783 | Doing Business As Name - Organization |
| KMART PHARMACY7783 | 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 |
| Colorado Business Entities | Transform KM LLC | 5407 Trillium Boulevard, Suite B120, Hoffman Estates, IL 60192 |
| Street Address |
525 CALLE CALAF STE 101 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00918-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576873 | Stryker Puerto Rico Sales LLC | Durable Medical Equipment & Medical Supplies | Calle Federico Costa 205, Montemar Plaza Suite 103, San Juan, PR 00918 | 2020-10-20 |
| 1255942074 | Jose Armando Corzo Gomez | Student in an Organized Health Care Education/Training Program | 715 Ave Ponde De Leon Stop 37.5, San Juan, PR 00918 | 2020-08-14 |
| 1437768843 | Dra Yanira Arce-ayala | Internal Medicine | 508 Ave Eugenio Maria De Hostos#101, San Juan, PR 00918 | 2020-07-31 |
| 1922621010 | Xiomara Resto | Student in an Organized Health Care Education/Training Program | #550 Calle Sergio Cuevas Bustamante Ave Domenech, San Juan, PR 00918 | 2020-05-22 |
| 1861015299 | Carlos Vargas | Student in an Organized Health Care Education/Training Program | 550 Calle Sergio Cuevas Bustamante Esq. Ave Domenech, San Juan, PR 00918 | 2020-05-20 |
| 1831724665 | Flor De Liz Santiago | Social Worker | Calle Jose Oliver #205, Apto. Th109, San Juan, PR 00918 | 2020-03-12 |
| 1134752306 | Plaza Podiatry Center | Internal Medicine | 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 | 2020-02-17 |
| 1356973697 | Guillermo Antonio Puebla Robles | Student in an Organized Health Care Education/Training Program | 155 Art. Hostos Golden Court II, Apt 227, San Juan, PR 00918 | 2020-02-05 |
| 1790316842 | Marieli Figueroa-morales | Pharmacist | Ave Ponce De Leon 715 Pda 37 1/2, Hato Rey, PR 00918 | 2020-01-28 |
| 1518507862 | Fabiola Ramos | Student in an Organized Health Care Education/Training Program | 600 Ave Jesus T Pinero Apt 1702, San Juan, PR 00918 | 2020-01-14 |
| Find all providers in zip 00918 | ||||
| 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 |
|---|---|---|---|---|
| 1013556190 | Mabel Jelitza Febres | Pharmacy | Ave Emiliano Pol 489, Las Cumbres, San Juan, PR 00926 | 2020-01-06 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1215590328 | Special Pharmacy Inc | Pharmacy | Urb America Bo Sabana Llana Sur Calle Barranquitas, 520 Carretera 181, San Juan, PR 00928 | 2019-04-16 |
| 1194283788 | Farmacia Victoria Inc | Pharmacy | 773 Ave San Patricio, San Juan, PR 00921-1301 | 2019-03-04 |
| 1023584059 | Prrx Specialty Solutions Inc | Pharmacy | 282 Ave Jesus T Pinero Ste 208, San Juan, PR 00927-3917 | 2018-10-17 |
| 1427507896 | Farmacia Paomela | Pharmacy | 162 Ave De La Constitucion, Local B, San Juan, PR 00901-2101 | 2016-09-27 |
| 1881045276 | Abc Unlimited Pharmacy Services, Corp | Pharmacy | 655 Ave San Patricio, Urb Summit Hills, San Juan, PR 00921 | 2016-06-27 |
| 1922462498 | Walgreen Co | Pharmacy | 100 Calle Brumbaugh, Viejo San Juan Hotel Sheraton Old Sanjuan, San Juan, PR 00901 | 2016-04-11 |
| 1427449032 | Di Velez, Inc. | Pharmacy | Ave. Chardon #9, San Juan, PR 00918 | 2015-02-18 |
| 1992109839 | Damar of Puerto Rico Services Inc | Pharmacy | Calle 8 Esq. Calle 45, Parcelas Falu, Sabana Llana, San Juan, PR 00925 | 2014-10-21 |
| Find all providers in SAN JUAN | ||||
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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.