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KTJ ENTERPRISES NPI 1326477605


NPI Information

NPI: 1326477605
Provider Name: KTJ ENTERPRISES

Doing Business As: PRESCRIPTION SHOP OF STUART

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 10D2161769

Address:
622 COLORADO AVE
STUART, FL
ZIP 34994
Phone: (772) 287-3443
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KTJ ENTERPRISES is a community/retail pharmacy pharmacy in Stuart, FL. The provider is 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. KTJ ENTERPRISES NPI is 1326477605. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescription Shop Of Stuart.

The provider's business location address is:

622 COLORADO AVE
STUART, FL
ZIP 34994-016
Phone: (772) 287-3443
Fax: (772) 287-0087

The provider's authorized official is Kimberly Jones .
The authorized official title is Owner and has the following contact phone number (561) 262-8456.

The CLIA number assigned to this NPI record is 10D2161769 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 10/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH27423FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010508900MEDICAIDFLORIDA
22144038OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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