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JLKGT INVESTMENTS LLC NPI 1710069554


NPI Information

NPI: 1710069554
Provider Name: JLKGT INVESTMENTS LLC

Doing Business As: KAUP PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 36D2098733

Address:
42 W MAIN ST
VERSAILLES, OH
ZIP 45380
Phone: (937) 526-3337
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JLKGT INVESTMENTS LLC is a community/retail pharmacy pharmacy in Versailles, OH. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JLKGT INVESTMENTS LLC NPI is 1710069554. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaup Pharmacy.

The provider's business location address is:

42 W MAIN ST
VERSAILLES, OH
ZIP 45380-214
Phone: (937) 526-3337
Fax: (937) 526-4118

The provider's authorized official is Jacquelyn Briscoe .
The authorized official title is Owner and has the following contact phone number (937) 526-3337.

The CLIA number assigned to this NPI record is 36D2098733 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 2/20/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy022452100OHIOYes
43336C0004XPharmacyCompounding PharmacyNo

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
10112030MEDICAIDOHIO
22148087OTHERPK
37370700001MEDICARE NSC

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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