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KGJ ENTERPRISES NPI 1477882959


NPI Information

NPI: 1477882959
Provider Name: KGJ ENTERPRISES

Doing Business As: SIMFAROSE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6338 LANTANA RD
SUITE 52/53
LAKE WORTH, FL
ZIP 33467
Phone: (561) 353-1292
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KGJ ENTERPRISES is a community/retail pharmacy pharmacy in Lake Worth, 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. KGJ ENTERPRISES NPI is 1477882959. The provider is registered as an organization entity type.
The provider Is Doing Business As Simfarose Pharmacy.

The provider's business location address is:

6338 LANTANA RD
SUITE 52/53
LAKE WORTH, FL
ZIP 33467
Phone: (561) 353-1292
Fax: (561) 353-1293

The provider's authorized official is Nicole Kelly .
The authorized official title is Manager and has the following contact phone number (561) 353-1292.

The enumeration date for this NPI number is 12/14/2009 and was last updated on 2/13/2019.


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
23336L0003XPharmacyLong Term Care PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPH24364FLORIDAYes

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
15528075MEDICAIDFLORIDA

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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