OrganizationActive
Jetkat, Inc.
NPI 1093866980 · Compounding Pharmacy · Canandaigua, NY
Provider details
- NPI number
- 1093866980
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kim Tenreiro, Secretary Jetkat Inc.(585) 396-9970
- License
- 022695 (NY)
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
66 West Ave
Canandaigua, NY 14424
Phone: (585) 396-9970
Fax: (585) 396-7264
Approximate (ZIP-level) locationGet directions
Mailing address
66 West Ave
Canandaigua, NY 14424
Other names (DBA / former)
- Doing business as
- Dba the Pharmacy Shop
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.