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DBA THE PHARMACY SHOP
NPI 1093866980
Pharmacy - Compounding Pharmacy in Canandaigua, NY

Active since January 16, 2007
66 WEST AVE, CANANDAIGUA, NY 14424(585) 396-9970(585) 396-7264 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dba The Pharmacy Shop NPPES

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

DBA THE PHARMACY SHOP (NPI 1093866980) is a healthcare organization registered as a compounding pharmacy in Canandaigua, New York and active in the NPI registry since January 2007. The organization lists Kim Anthony Tenreiro, Secretary Jetkat Inc., as its authorized official.

NPPES Registry Identity

NPI1093866980
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameJETKAT, INC.
Location Address66 WEST AVECanandaigua, NY 14424
Mailing Address66 West AveCanandaigua, NY 14424 · (585) 396-9970 · Fax (585) 396-7264
Phone(585) 396-9970
Fax(585) 396-7264
Organization SubpartNo
Authorized OfficialKim Anthony TenreiroSecretary Jetkat Inc. · (585) 396-9970
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1093866980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in NY · 22695
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X · License 022695 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
66 WEST AVE, Canandaigua, NY 14424
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Other Names 1

Doing Business AsDba The Pharmacy Shop

Other Identifiers 2

Other3395971NY · Ncpdp #
Medicaid01593140NY

Other Providers at the Same Location NPPES 6

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

JULIE A. ENGLISH PHARMD.
Pharmacist
66 WEST AVE
CANANDAIGUA, NY 14424
Ontario County (585) 396-9970
CHERYL A INFANTINO RPH
Pharmacist
66 WEST AVE
CANANDAIGUA, NY 14424
Ontario County (585) 396-9970
KAYLA LOUISE LOOSMORE PHARMD
Pharmacist
66 WEST AVE
CANANDAIGUA, NY 14424
Ontario County (585) 396-9970
MR. KIM ANTHONY TENREIRO R.PH.
Pharmacist
66 WEST AVE
CANANDAIGUA, NY 14424
Ontario County (585) 396-9970
NOREEN SPIEHLER
Pharmacist
66 WEST AVE
CANANDAIGUA, NY 14424
Ontario County (585) 396-9970
DR. KERRIE LYNN PETERSON PHARMD
Pharmacist
66 WEST AVE
CANANDAIGUA, NY 14424
Ontario County (585) 396-9970

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 Jetkat, Inc.'s NPI number?

The NPI number for Jetkat, Inc. is 1093866980. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Dba The Pharmacy Shop.

Where is Jetkat, Inc. located?

Jetkat, Inc. is located at 66 West Ave, Canandaigua, NY 14424. The listed phone number is (585) 396-9970.

What is Jetkat, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Jetkat, Inc. was last updated on March 7, 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.