KTJ ENTERPRISES LLC NPI 1326477605

NPI Information

  • NPI: 1326477605
  • Provider Name: KTJ ENTERPRISES, LLC
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2161769
  • Address: 622 SOUTH COLORADO AVENUE
    STUART, FL
    ZIP 34994
  • Phone: (772) 287-3443

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NPI Details

KTJ ENTERPRISES, LLC is a pharmacist in Stuart, FL. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. KTJ ENTERPRISES, LLC NPI is 1326477605. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

622 SOUTH COLORADO AVENUE
STUART, FL
ZIP 34994-016
Phone: (772) 287-3443
Fax: (772) 287-0087

The provider's authorized official is William E Bamhart .
The authorized official title is Pharmacist and has the following contact phone number (561) 870-9672.

The CLIA number assigned to this NPI record is 10D2161769 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 11/6/2013 and was last updated on 2/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacistYes
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPH27423FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010508900MEDICAIDFLORIDA
22144038OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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