MEDTOWN PHARMACY
NPI 1043626153
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Q: What is Pich Ktm Corp's NPI number?

The NPI number for Pich Ktm Corp is 1043626153. It was assigned to this organization in the NPPES registry on July 9, 2014. The provider is doing business as Medtown Pharmacy.

Q: What is Pich Ktm Corp's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Pich Ktm Corp was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2014CLIA 10D2168917 · Waiver

11643 BEACH BLVD, UNIT A, JACKSONVILLE, FL 32246(904) 551-5870(904) 619-6227 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Medtown Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDTOWN PHARMACY (NPI 1043626153) is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Chen Oeur, Pharmacist/pharmacy Owner, as its authorized official.

NPPES Registry Identity

NPI1043626153

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePICH KTM CORP

Location Address11643 BEACH BLVD, UNIT AJacksonville, FL 32246

Mailing Address11643 Beach Blvd, Unit AJacksonville, FL 32246 · (904) 551-5870 · Fax (904) 619-6227

Phone(904) 551-5870

Fax(904) 619-6227

Organization SubpartNo

Authorized OfficialChen OeurPharmacist/pharmacy Owner · (904) 551-5870

Enumeration DateJuly 9, 2014

Last NPPES UpdateMay 1, 2023

NPPES CertifiedMay 1, 2023

✔ NPI 1043626153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in FL · PH28291

Definition

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.

11643 BEACH BLVD, Jacksonville, FL 32246

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Other Names 1

Doing Business AsMedtown Pharmacy

Other Identifiers 2

Medicaid013879700FL

Other2147617Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2168917

Pich Ktm Corp Dba Medtown Pharmacy · Jacksonville, FL

Active · expires Jul 10, 2027

CLIA Number10D2168917

Laboratory TypePharmacy

Certificate Effective DateJuly 11, 2025

Certificate Expiration DateJuly 10, 2027

Laboratory DirectorNakry S. Oeur

Laboratory Phone(904) 551-5870

Laboratory LocationPich Ktm Corp Dba Medtown Pharmacy11643 Beach Blvd Unit A, Jacksonville, FL 32246

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

41 services41 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

32 services32 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PICH KTM CORP

Pharmacy (Community/Retail Pharmacy)

11643 BEACH BLVD, UNIT A
JACKSONVILLE, FL 32246

Duval County (904) 551-5870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pich Ktm Corp's NPI number?

The NPI number for Pich Ktm Corp is 1043626153. It was assigned to this organization in the NPPES registry on July 9, 2014. The provider is doing business as Medtown Pharmacy.

Where is Pich Ktm Corp located?

Pich Ktm Corp is located at 11643 Beach Blvd Unit A, Jacksonville, FL 32246. The listed phone number is (904) 551-5870.

What is Pich Ktm Corp's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pich Ktm Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2168917) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pich Ktm Corp accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Pich Ktm Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pich Ktm Corp was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.