Timothy C. Runyon, D.p.m. P.a. is an authorized DME supplier for medicare equipments and products.
Timothy C. Runyon, D.p.m. P.a. is a Non-pharmacy Dispensing Site in St. Petersburg, Florida. It is located at 1401 16th St N, St. Petersburg and it's customer support contact number is 727-894-0794. The authorized person of Timothy C. Runyon, D.p.m. P.a. is Dr. Kyle C Kinmon, DPM who is Provider/owner of the pharmacy and his contact number is 561-995-0229.Timothy C. Runyon, D.p.m. P.a. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Timothy C. Runyon, D.p.m. P.a. is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Timothy C. Runyon, D.p.m. P.a. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Timothy C. Runyon, D.p.m. P.a.
Type:
Non-pharmacy Dispensing Site
Location:
1401 16th St N, St. Petersburg, Florida, 33704-4123
Phone:
727-894-0794
Fax:
727-895-1215
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kyle C Kinmon
Credentials:
DPM
Position:
Provider/owner
Contact Number:
561-995-0229
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1093869851
NPI Enumeration Date:
22 Jan, 2007
NPI Last Update On:
09 Oct, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy C. Runyon, D.p.m. P.a. are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
Primary
Radiology
PO1101
Florida
Secondary
Sports Medicine
PO1101
Florida
Secondary
Foot & Ankle Surgery
PO1101
Florida
Secondary
Durable Medical Equipment & Medical Supplies
PO1101
Florida
Secondary
Customized Equipment
PO1101
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
340415300
Medicaid
Florida
Medicare Enrollment:
Timothy C. Runyon, D.p.m. P.a. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4486568250
O20031117000143
Timothy C Runyon Dpm Pa
PART B SUPPLIER - CLINIC/GROUP PRACTICE
4486568250
O20100930035012
Timothy C Runyon Dpm Pa
DME SUPPLIER - PHYSICIAN - PODIATRY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1401 16th St N, St. Petersburg, Florida
Zip:
33704-4123
Phone Number:
727-894-0794
Fax Number:
727-895-1215
Patients can reach Timothy C. Runyon, D.p.m. P.a. at 1401 16th St N, St. Petersburg, Florida or can call on customer care at 727-894-0794.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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