Kmart Pharmacy3829
LBN: Transform Km Llc
Kmart Pharmacy3829 is an health care organization with primary practice located at 4605 Tutu Park Mall Ste 100 , St Thomas VI 00802-1736. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Transform Km Llc can be contacted via phone (340) 777-3847, or through Speares Lehman, Jennifer via phone (847) 286-5116.
Contact Information
Primary practice address
4605 Tutu Park Mall Ste 100
St Thomas VI 00802-1736
Phone: (340) 777-3847
Fax: (847) 396-2717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1-6205-1L | Virgin Islands |
Profile Details
| NPI number | 1063443117 |
|---|---|
| LBN Legal business name | Transform Km Llc |
| DBA Doing business as | Kmart Pharmacy3829 |
| Authorized official | Speares Lehman, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Sep 21st, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063443117 | NPPES |
| Virgin Islands | Other | 7748430011 | MEDICARE NSC |
| Virgin Islands | Other | PHC150 | MEDICARE NSC |
| Virgin Islands | MEDICAID | 1021 | MEDICARE NSC |
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