Kme RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KME RX INC

Doing business as

MEDICAP PHARMACY

Practice address

3491 S Congress Ave
Bay 6
Palm Springs, FL 33461-3021

Phone

(561) 432-0402

Fax

(561) 432-0403

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Jetendra Etwaru, RPH

Title

Owner Pharmacist

Phone

(561) 432-0402

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MEDICAP PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982769303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 S CONGRESS AVE",
            "address_2": "BAY 6",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 S CONGRESS AVE",
            "address_2": "BAY 6",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613021",
            "telephone_number": "561-432-0402",
            "fax_number": "561-432-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KME RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ETWARU",
        "authorized_official_first_name": "JETENDRA",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "561-432-0402",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH20069",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026869100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026869101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1004023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raj Khambhati, MD
• Jacklyn Marie Killingbeck
• Kimberly Rasor
• Shirleyann Ingram King, MA, LMHC, MCAP
• Anna Klimowska, APRN
• Francoise Mendes Ramos Knoeppel, APRN
• Jessica Kofman, FNP-BC, PMHNP
• Laura White Kolshak, MD
• Adam J Kotkiewicz, D.O.
• Kritih Private LLC

• Community/Retail Pharmacy in Palm Springs, FL
• Providers in Palm Springs, 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 Mar 7, 2023; 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.