Organization Active NPI

K T Pharmacy Inc

  • Community/Retail Pharmacy
  • Bartow, FL
National Provider Identifier
1477573780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH19 Issued in FL
Legal business name
K T PHARMACY INC
Practice address
490 E Summerlin St
Bartow, FL 33830-4731
Phone
(863) 533-4102
Fax
(863) 533-0824
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gwen Cortney Parker, CPHT
Title
Lead Pharmacy Tech Asst Manager
Phone
(863) 533-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH19 FL Primary

Addresses

Primary practice location

490 E Summerlin St
Bartow, FL 33830-4731

Mailing address

490 E Summerlin St
Bartow, FL 33830-4731
Phone (863) 533-4102

National Provider Directory

National Provider Directory

Locations

490 E Summerlin St
Bartow, FL 33830
Phone (863) 533-4102

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477573780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E SUMMERLIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304731",
            "telephone_number": "863-533-4102",
            "fax_number": "863-533-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E SUMMERLIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304731",
            "telephone_number": "863-533-4102",
            "fax_number": "863-533-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K T PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "CORTNEY",
        "authorized_official_title_or_position": "LEAD PHARMACY TECH  ASST MANAGER",
        "authorized_official_telephone_number": "863-533-4102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.