Kim Anthony Tenreiro, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

034297-1 Issued in NY

Practice address

66 West Ave
Canandaigua, NY 14424-1521

Phone

(585) 396-9970

Fax

(585) 396-7264

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jetkat, Inc.

  dba DBA The Pharmacy Shop

  • Compounding Pharmacy
  • Canandaigua, NY
  • NPI 1093866980
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619046539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 WHITETAIL DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249368",
            "telephone_number": "585-396-9970",
            "fax_number": "585-396-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WEST AVE",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241521",
            "telephone_number": "585-396-9970",
            "fax_number": "585-396-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENREIRO",
        "first_name": "KIM",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "034297-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.Y. PHARMACIST LICENSE",
            "identifier": "034297-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara A. Tauscher, LPN
• Jay Scott Taylor, L.M.T
• Judith Taylor, LCSW-R
• Cynthia Elizabeth Teerlinck, M.D.
• Catherine Telehany, DDS
• Jacqui Tessena, RN
• Matthew Michael Tessena, D.O.
• Lauren Teti
• Kelly Ann Teufel
• Meaghan Patricia Thaine, FNP-C

• Pharmacist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.