TRANSFORM KM LLC (NPI# 1982635025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982635025 |
| Entity Type | Organization |
| Organization Name | TRANSFORM KM LLC |
| Other Organization Name | KMART PHARMACY #3484 |
| Practice Address |
201 Crossings Mall Rd Elkview WV 25071-9230 |
| Mailing Address |
3333 Beverly Rd # Bc260a Hoffman Estates IL 60179-0001 |
| Practice Telephone | 3049657261 |
| Practice Fax Number | 3049652424 |
| Mailing Telephone | 8472864089 |
| Mailing Fax Number | 8477471553 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-05-02 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MP0550181 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0227773001 | 05 | |
| PK | 2110597 | 01 |
| Other Name | Type Code |
|---|---|
| KMART PHARMACY #3484 | Doing Business As Name - Organization |
| KMART PHARMACY3484 | 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 |
201 CROSSINGS MALL RD |
| City | ELKVIEW |
| State | WV |
| Zip Code | 25071-9230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770805970 | John Boyd Mowery Jr. | Pharmacist | 201 Crossings Mall Rd, Elkview, WV 25071-9230 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467065631 | Ashley N Wiley | Technician | 293 Robertson Ridge, Elkview, WV 25071 | 2020-08-27 |
| 1992356042 | Betsy Dorsey Adams | Speech-Language Pathologist | 120 Melrose Dr, Glasgow, WV 25071 | 2019-09-20 |
| 1568979474 | Ruth Ann Kennedy | Technician | 145 Buna Vista Drive, Elkview, WV 25071 | 2018-01-02 |
| 1073029559 | Donna Marie Manning | Technician | 28 Upper Pinch Road, Elkview, WV 25071 | 2017-12-20 |
| 1679962724 | Kellie Murad Teel | Nurse Practitioner | 1002 Barth Ct, Elkview, WV 25071 | 2015-01-13 |
| 1578998381 | Gibson Family Dentistry, Pllc | Dentist | 5089 Elk River Road N., Elkview, WV 25071 | 2013-09-11 |
| 1154642007 | Heather Denise Gibson | Dentist | 5089 Elk River Rd North, Elkview, WV 25071 | 2010-06-15 |
| 1730403783 | Linda Sue Clark | Pharmacist | 201 Crossings Mall, Elkview, WV 25071 | 2010-03-19 |
| 1952533234 | Brittany Dawn Murdock | Speech-Language Pathologist | 640 Jakes Run Road, Elkview, WV 25071 | 2009-08-20 |
| 1013105535 | Maria Luna Tan Navarro Md Inc | Clinic/Center | # 5 Elk Shopping Plaza, Elkview, WV 25071 | 2007-10-10 |
| Find all providers in zip 25071 | ||||
| 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 |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
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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.