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KINETIX GROUP LLC NPI 1538522446


NPI Information

NPI: 1538522446
Provider Name: KINETIX GROUP LLC

Doing Business As: KINETIX GROUP, LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
104 BUSINESS PARK DR STE H
SUITE H
RIDGELAND, MS
ZIP 39157
Phone: (662) 803-2094
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KINETIX GROUP LLC is a pharmacy in Ridgeland, MS. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KINETIX GROUP LLC NPI is 1538522446. The provider is registered as an organization entity type.
The provider Is Doing Business As Kinetix Group, Llc.

The provider's business location address is:

104 BUSINESS PARK DR STE H
SUITE H
RIDGELAND, MS
ZIP 39157-017
Phone: (662) 803-2094
Fax: (601) 326-7377

The provider's authorized official is Jennifer Sartain .
The authorized official title is Licensing Specialist and has the following contact phone number (601) 983-1239.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 4/13/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
4333600000XPharmacy14764/1.1MISSISSIPPIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12159399OTHERPK

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: 4/28/2024

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