Krishna Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24294 Issued in FL

Legal business name

KRISHNA PHARMACY LLC

Practice address

14102 Palm Beach Blvd
Fort Myers, FL 33905-2244

Phone

(239) 362-2760

Fax

(239) 362-2761

NPI assigned

Oct 6, 2009

Organization subpart

No

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

Authorized official

Name

Jignesh Patel

Title

Manager

Phone

(239) 362-2760

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Riverdale Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1457686602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14102 PALM BEACH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052244",
            "telephone_number": "239-362-2760",
            "fax_number": "239-362-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14102 PALM BEACH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052244",
            "telephone_number": "239-362-2760",
            "fax_number": "239-362-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-362-2760"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24294",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001554700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1049786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverdale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Krier
• Gregory Krill, M.D.
• Jeliena N Krill, PA-C
• Denise Kring
• Rebecca Krinkie, MD
• Sharon Lynn Krispinsky, RN, BSN, CDE
• Brian A Krivisky, MD
• Anna Krizan Fano, DMD
• Barbara Jean Kropacek, R.D., L.D.N.
• Kayla R Kroschel, CRNA

• Community/Retail Pharmacy in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.