MEDICARE: KNAP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PH24768	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5701114	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1730493529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNAP INC.

Provider Business Mailing Address
First Line	:	3547 CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7903
Country	:	US
Telephone Number	:	239-243-8490
Fax Number	:

Provider Business Practice Location Address
First Line	:	3547 CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7903
Country	:	US
Telephone Number	:	239-243-8490
Fax Number	:	239-243-8226

Authorized Official
Title or Position	:	PHARMACY IN CHARGE
Name	:	PINKAL PATEL
Credential	:
Telephone Number	:	239-243-8490

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	01/21/2021

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Directions to “KNAP INC. ” Practice Location

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