Dba The Pharmacy Shop

LBN: Jetkat, Inc.
Dba The Pharmacy Shop is an health care organization with primary practice located at 66 West Ave , Canandaigua NY 14424. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Jetkat, Inc. can be contacted via phone (585) 396-9970, or through Tenreiro, Kim Anthony via phone (585) 396-9970.

Contact Information

Primary practice address
66 West Ave Canandaigua NY 14424
Phone: (585) 396-9970
Fax: (585) 396-7264
Website:
Map and Directions
Authorized official contact:
Name: Tenreiro, Kim Anthony RPH.
Phone: (585) 396-9970

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 022695 New York
Suppliers / Community/Retail Pharmacy 3336C0003X New York
Suppliers / Compounding Pharmacy 3336C0004X 22695 New York

Profile Details

NPI number 1093866980
LBN Legal business name Jetkat, Inc.
DBA Doing business as Dba The Pharmacy Shop
Authorized official Tenreiro, Kim Anthony RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093866980 NPPES
New York Other 3395971 NCPDP #
New York MEDICAID 01593140 NCPDP #

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