KTJ Enterprises, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

KTJ ENTERPRISES, LLC

Doing business as

Prescription Shop of Stuart

Practice address

622 South Colorado Avenue
Stuart, FL 34994-3016

Phone

(772) 287-3443

Fax

(772) 287-0087

NPI assigned

Nov 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William E Bamhart, PHARM D, R.PH

Title

Pharmacist

Phone

(561) 870-9672

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Prescription Shop of Stuart Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Earl Barnhart, PHARM. D., R.PH.

  • Pharmacist
  • Stuart, FL
  • NPI 1356931109
  NPD
• Karen Fortmeyer, RPH, CPH

  • Pharmacist
  • Stuart, FL
  • NPI 1740823061
  NPD
• Jennifer Hale, PHARMD

  • Pharmacist
  • Stuart, FL
  • NPI 1922745207
  NPD
• Kimberly Issac Jones, LMHC, RPH.

  • Mental Health Counselor
  • Jupiter, FL
  • NPI 1376607796

  Pharmacist

  NPD
• Donald Richard Taylor, RPH

  • Pharmacist
  • Stuart, FL
  • NPI 1093845638
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1326477605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SOUTH COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943016",
            "telephone_number": "772-287-3443",
            "fax_number": "772-287-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SOUTH COLORADO AVENUE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943016",
            "telephone_number": "772-287-3443",
            "fax_number": "772-287-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTJ ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "BAMHART",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "561-870-9672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D, R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010508900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Shop of Stuart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon David Kruebbe
• Natalie Ann Kruize, P.A.C.
• Frank Krukauskas
• Bernardo D Kruszel, M.D.
• Maribel Krzyzaniak
• Trieton Kuenzi
• Christopher Kuhns, DMD
• Scott Lee Kuhns, D.M.D.
• Betzabeth E Kuiper
• Amitabh Kumar, M.D.

• Pharmacist in Stuart, FL
• Providers in Stuart, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.