TRANSFORM KM OF MICHIGAN LLC (NPI# 1366473340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366473340 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM OF MICHIGAN LLC |
| Other Organization Name | KMART PHARMACY #3155 |
| Practice Address |
2095 Rawsonville Rd Belleville MI 48111-2219 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 7344875502 |
| Practice Fax Number | 8473962548 |
| 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 PF 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 |
5301004942 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2040684 | 01 | |
| MI | 2529284 | 05 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #3155 | Doing Business As Name - Organization |
| KMART PHARMACY3155 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679504666 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 1101 7th Ave, Menominee, MI 49858-3130 | 2006-07-06 |
| 1346271335 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 802 W State St, Hastings, MI 49058-1659 | 2006-07-06 |
| 1689605677 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 1820 S Saginaw Rd, Midland, MI 48640-6837 | 2006-07-06 |
| 1073544060 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 15861 W Michigan Ave, Marshall, MI 49068-9578 | 2006-07-06 |
| 1609807601 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 5719 N Us Highway 23, Oscoda, MI 48750-8721 | 2006-07-06 |
| 1104170190 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 1770514762 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 5100 Dixie Hwy, Waterford, MI 48329-1793 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TRANSFORM KM OF MICHIGAN LLC | 1170 Kane Concourse, Suite 200, Bay Harbor Islands, FL 33154 |
| Street Address |
2095 RAWSONVILLE RD |
| City | BELLEVILLE |
| State | MI |
| Zip Code | 48111-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568816346 | Hassan Forouzannia | Pharmacist | 2095 Rawsonville Rd, Belleville, MI 48111-2219 | 2016-04-19 |
| 1588027072 | Shilpa Patel | Pharmacist | 2095 Rawsonville Rd, Belleville, MI 48111-2219 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406208 | Kimberly N Debusschere | Music Therapist | 4334 Dottie Ct., Belleville, MI 48111 | 2020-01-10 |
| 1083267041 | Kendalynn Ann Avant | Home Health | 49061 Denton Rd, Apt. 103, Belleville, MI 48111 | 2019-07-18 |
| 1073010864 | Shelly Lynn Milton | Massage Therapist | 9530 Rolan Meadows Drive, Belleville, MI 48111 | 2018-04-09 |
| 1053826040 | Helping Journey Counseling Service | Social Worker | 397 Main St Ste C, Belleville, MI 48111 | 2017-12-12 |
| 1447773254 | Advanced Counseling and Outreach | Counselor | 9513 Rolan Meadows Lane, Belleville, MI 48111 | 2017-07-24 |
| 1104348564 | Stella Adaku Amakeme | Nurse's Aide | 49007 Laguna Dr, Belleville, MI 48111 | 2017-07-07 |
| 1497285076 | Elizabeth Griffin | Recreation Therapist | 41460 W Archwood Dr, Apt A332, Belleville, MI 48111 | 2017-06-15 |
| 1831548122 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 41255 Coca Cola Dr., Belleville, MI 48111 | 2016-06-07 |
| 1639527187 | Wadler Fleurina | Physician Assistant | 11650 Belleville Rd #101, Belleville, MI 48111 | 2016-05-25 |
| 1922478080 | Mayia Raneese Chenault | Technician, Other | 48501 S I 94 Servce Dr Apt 107, Van Buren Twp, MI 48111 | 2015-10-01 |
| Find all providers in zip 48111 | ||||
| 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 |
|---|---|---|---|---|
| 1336704824 | Saicare Pharmacy Inc | Pharmacy | 246 Washington Ave Ste 102, Belleville, NJ 07109-3155 | 2019-05-09 |
| 1508327016 | Medbox Inc | Pharmacy | 14 Franklin St Ste 102, Belleville, NJ 07109-1134 | 2019-03-27 |
| 1881177897 | Belleville Hometown Pharmacy LLC | Pharmacy | 1 West Main St, Belleville, WI 53508 | 2018-09-14 |
| 1427590603 | Pharmacare Drugs 1 Inc | Pharmacy | 6048 Rawsonville Rd, Belleville, MI 48111-2339 | 2016-11-05 |
| 1720539752 | Express Medical Pharmacy LLC | Pharmacy | 1 Royal Heights Ctr, Belleville, IL 62226-5705 | 2016-10-14 |
| 1730489022 | Orchard Pharmacy Center Inc | Pharmacy | 19731 Sumpter Rd., 19731 Sumpter Rd, Belleville, MI 48111-8919 | 2010-11-02 |
| 1548441124 | Belleville Neighborhood Pharmacy | Pharmacy | 887 Sumpter Rd, Ste A, Belleville, MI 48111-4905 | 2007-11-24 |
| 1922190404 | New Jersey Cvs Pharmacy LLC | Pharmacy | 519 Washington Ave, Belleville, NJ 07109 | 2006-09-29 |
| 1629083803 | Walgreen Co | Pharmacy | 515 Carlyle Ave, Belleville, IL 62221-6223 | 2006-07-29 |
| 1255762894 | Lsc Pharmacy Services, Inc. | Pharmacy | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2013-12-09 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 48111 |
Please comment or provide details below to improve the information on TRANSFORM KM OF MICHIGAN 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.