Timothy C. Runyon, D.p.m. P.a.
Non-pharmacy Dispensing Site
1401 16th St N, St. Petersburg
Florida, 33704-4123
727-894-0794 727-895-1215
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.