Ridgmar Pharmacy
LBN: Jay Kishun Enterprise Inc
Ridgmar Pharmacy is an health care organization with primary practice located at 6823 Green Oaks Rd Ste C , Fort Worth TX 76116-1732. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jay Kishun Enterprise Inc can be contacted via phone (817) 737-7377, or through Kurani, Kamleshi via phone (817) 737-7377.
Contact Information
Primary practice address
6823 Green Oaks Rd Ste C
Fort Worth TX 76116-1732
Phone: (817) 737-7377
Fax: (817) 737-7388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 22047 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1427238856 |
|---|---|
| LBN Legal business name | Jay Kishun Enterprise Inc |
| DBA Doing business as | Ridgmar Pharmacy |
| Authorized official | Kurani, Kamleshi |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Nov 14th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427238856 | NPPES |
| Texas | MEDICAID | 145216 | |
| Texas | Other | 4524193 |
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