KPH HEALTHCARE SERVICES, INC. (NPI# 1053428235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053428235 |
| Entity Type | Organization |
| Organization Name | KPH HEALTHCARE SERVICES, INC. |
| Other Organization Name | KINNEY DRUGS #22 |
| Practice Address |
115b Monkton Rd Vergennes VT 05491 |
| Mailing Address |
29 E Main St Gouverneur NY 13642-1401 |
| Practice Telephone | 8028773148 |
| Practice Fax Number | 8028773018 |
| Mailing Telephone | 3152873600 |
| Mailing Fax Number | 3152874291 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | LISA L WEIR (THIRD PARTY ADMINISTRATOR) |
| Authorized Official Telephone | 3152873600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 0380002824 | VT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4701909 | 01 | |
| VT | 0006666 | 05 |
| Other Name | Type Code |
|---|---|
| Kinney Drugs #22 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851812853 | Kph Healthcare Services, Inc. | Pharmacy | 471 E Main St Unit 5, Gouverneur, NY 13642-1508 | 2017-06-29 |
| 1487996377 | Kph Healthcare Services, Inc. | Pharmacy | 2912 James St, Syracuse, NY 13206-2241 | 2013-03-19 |
| 1376893529 | Kph Healthcare Services, Inc. | Pharmacy | 307 Nottingham Rd., Syracuse, NY 13210 | 2012-09-14 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1427331784 | Kph Healthcare Services, Inc. | Pharmacy | 10212 Route 116, Hinesburg, VT 05461-9725 | 2011-09-23 |
| 1831417690 | Kph Healthcare Services, Inc. | Pharmacy | 151 Vermont Route 12 South, Randolph, VT 05060-9237 | 2010-05-04 |
| 1649455650 | Kph Healthcare Services, Inc. | Pharmacy | 1954 Saranac Ave, Lake Placid, NY 12946-1139 | 2008-01-09 |
| 1215135702 | Kph Healthcare Services, Inc. | Pharmacy | 407 Broad St, Lyndonville, VT 05851-5600 | 2007-07-05 |
| 1144428632 | Kph Healthcare Services, Inc. | Pharmacy | 957 Memorial Dr, Saint Johnsbury, VT 05819-9238 | 2007-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KPH HEALTHCARE SERVICES, INC. | 29 E Main St, Gouvermeur, NY 13642 |
| New York State Corporations | KPH HEALTHCARE SERVICES, INC. | 29 East Main St, Gouverneur, New York 13642 |
| Connecticut Business Registrations | KPH HEALTHCARE SERVICES, INC. | 29 East Main Street, Gouverneur, NY 13642 |
| Oregon Corporations, Companies and Business Names | KPH HEALTHCARE SERVICES, INC. | 29 East Main Street, Gouverneur, NY 13642 |
| Colorado Business Entities | KPH Healthcare Services, Inc. | 29 East Main Street, Gouverneur, NY 13642 |
| Vermont Business Registrations | KPH HEALTHCARE SERVICES, INC. | 29 East Main St., Gouverneur, NY 13642 |
| Street Address |
115B MONKTON RD |
| City | VERGENNES |
| State | VT |
| Zip Code | 05491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598319923 | Mi Ri Yim | Pharmacist | 115b Monkton Rd, Vergennes, VT 05491-9778 | 2019-07-24 |
| 1558832089 | Rebecca J Sanford | Pharmacist | 115b Monkton Rd, Vergennes, VT 05491-9778 | 2018-12-10 |
| 1538531553 | Craig Fischer | Pharmacist | 115b Monkton Rd, Vergennes, VT 05491-9778 | 2015-10-29 |
| 1346612678 | James Sawyer | Pharmacist | 115b Monkton Rd, Vergennes, VT 05491-9778 | 2015-10-26 |
| 1881951671 | Jill Marie Lowrey | Pharmacist | 115b Monkton Rd, Vergennes, VT 05491-9778 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699760 | Elizabeth Ann Grant | Registered Nurse | 1218 Rte 17e, Enter Your Mailing Addres, Addison, VT 05491 | 2019-09-26 |
| 1073988812 | Anna Becker | Physical Therapy Assistant | 1355 Route 22a, Panton, VT 05491 | 2015-12-04 |
| 1437309564 | Heather Brown Kidde | Advanced Practice Midwife | 20 Armory Lane, Vergennes, VT 05491 | 2008-09-25 |
| 1497833495 | Gregory C Maurer Dds PC | Dentist | 46 New Haven Road, Vergennes, VT 05491 | 2006-11-01 |
| 1255357265 | Robert Joel Frank | Dentist | 23 South Water Street, Vergennes, VT 05491 | 2006-07-14 |
| 1750346326 | Donald Bruce Robinson | Family Medicine | 10 North Street, Little City Family Practice, Vergennes, VT 05491 | 2006-04-18 |
| 1114269503 | Catherine Anne Ayers | Family Medicine | 10 North St, Vergennes, VT 05491 | 2013-03-23 |
| 1063643518 | Jennifer Sandra Kaufman | Family Medicine | 10 North Street, Lcfp, Vergennes, VT 05491 | 2009-07-31 |
| 1609018621 | Karen L Fromhold | General Practice | 10 North St, Vergennes, VT 05491 | 2009-04-06 |
| 1356429351 | Gregory Charles Maurer | Dentist | 46 New Haven Road, Vergennes, VT 05491 | 2006-11-01 |
| Find all providers in zip 05491 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245776194 | Smith Management Services, LLC | Pharmacy | 187 Main St, Vergennes, VT 05491-1117 | 2017-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602335 | Walgreen Co | Pharmacy | 621 Route 22a N, Fair Haven, VT 05743-9239 | 2017-07-25 |
| 1295141919 | Remedies Pharmacy LLC | Pharmacy | 308 Route 2, South Hero, VT 05486-4216 | 2014-07-02 |
| 1316374002 | Vermont Cvs Pharmacy LLC | Pharmacy | 1634 Us Route 302, Barre, VT 05641-2322 | 2013-09-26 |
| 1184057382 | Jolly Bee Partners Dba Putney Pharmacy | Pharmacy | 4 Kimball Hill Road, Putney, VT 05346-0508 | 2013-08-12 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1427331784 | Kph Healthcare Services, Inc. | Pharmacy | 10212 Route 116, Hinesburg, VT 05461-9725 | 2011-09-23 |
| 1235443441 | Montpelier Pharmacy Inc | Pharmacy | 413 Canal St, Brattleboro, VT 05301-6619 | 2010-07-29 |
| 1831417690 | Kph Healthcare Services, Inc. | Pharmacy | 151 Vermont Route 12 South, Randolph, VT 05060-9237 | 2010-05-04 |
| 1316195969 | Pharmacy Network | Pharmacy | 158 Brentwood Dr, Ste 7, Colchester, VT 05446-7994 | 2008-09-08 |
| 1215135702 | Kph Healthcare Services, Inc. | Pharmacy | 407 Broad St, Lyndonville, VT 05851-5600 | 2007-07-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.