KPH HEALTHCARE SERVICES, INC. (NPI# 1336256510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336256510 |
| Entity Type | Organization |
| Organization Name | KPH HEALTHCARE SERVICES, INC. |
| Other Organization Name | KINNEY DRUGS #03 |
| Practice Address |
2 Preston St Camden NY 13316-1216 |
| Mailing Address |
29 E Main St Gouverneur NY 13642-1401 |
| Practice Telephone | 3152451224 |
| Practice Fax Number | 3152452385 |
| 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 | 016117 | NY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00561931 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3364902 | 01 |
| Other Name | Type Code |
|---|---|
| Kinney Drugs #03 | 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 |
2 PRESTON ST |
| City | CAMDEN |
| State | NY |
| Zip Code | 13316-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791429 | Jacquelyn Nicole Turturo | Pharmacist | 2 Preston St, Camden, NY 13316-1216 | 2018-08-24 |
| 1710219399 | Kelly Ann Jones | Pharmacist | 2 Preston St, Camden, NY 13316-1216 | 2010-02-05 |
| 1679750244 | Randi Diane Swancott | Pharmacist | 2 Preston St, Camden, NY 13316-1216 | 2008-01-26 |
| 1174705305 | Lory Huller | Pharmacist | 2 Preston St, Camden, NY 13316-1216 | 2007-11-29 |
| 1396843447 | Kevin Michael Greene | Pharmacist | 2 Preston St, Camden, NY 13316-1216 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598119380 | Desiree Ann Holbert | Licensed Practical Nurse | 1195 Curtiss Road, Camden, NY 13316 | 2016-04-18 |
| 1245634989 | Rebecca Ann Kenderes | Physician Assistant | 5 Masonic Avenue, Camden, NY 13316 | 2014-10-09 |
| 1609122746 | Donna Mastin | Registered Nurse | 5 6th Street, Camden, NY 13316 | 2012-07-26 |
| 1942404025 | Deborah Lee Staple | Pediatrics | 90 Taberg Road, Camden, NY 13316 | 2007-06-13 |
| 1417063512 | William M Lappin | Pharmacist | 104 Taberg Rd, Camden, NY 13316 | 2006-08-22 |
| 1265459994 | Sabah Ahmeida Elmasouri | Dentist | 24 Mexico St, Camden, NY 13316 | 2006-07-17 |
| 1740281773 | Town of Camden | Ambulance | 14 Church St, Camden, NY 13316 | 2005-08-01 |
| 1912322272 | Town of Osceola Ambulance Service | Ambulance | 14 Church St, Camden, NY 13316-1002 | 2014-02-24 |
| 1245355304 | Aaron Andrew Linder | Specialist/Technologist | 55 Oswego St, Camden, NY 13316-1025 | 2007-03-20 |
| 1164725800 | Kimberly P Kimmel | Speech-Language Pathologist | 1 Oswego St, Camden, NY 13316-1038 | 2010-12-20 |
| Find all providers in zip 13316 | ||||
| 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] |
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| 1992049126 | Rivercare Solutions LLC | Pharmacy | 3213 River Rd, Camden, NJ 08105-4215 | 2012-11-09 |
| 1215241393 | Raghu Ram Inc | Pharmacy | 3703 Westfield Ave, Camden, NJ 08105 | 2010-08-02 |
| 1760525489 | Rxd Pharmacy of Nj Inc | Pharmacy | 1805 Broadway, A&b Drugs, Camden, NJ 08102 | 2007-02-14 |
| 1114060829 | Rxd Pharmacy of Nj Inc | Pharmacy | 617 Broadway Ave, Ellis Drugs, Camden, NJ 08103 | 2007-02-14 |
| 1093864654 | Eureka Drug Stores, Inc. | Pharmacy | 1032 Broad St, Camden, SC 29020-4308 | 2007-01-10 |
| 1659444297 | Micrimar Inc | Pharmacy | 221 S Broadway, Camden, NJ 08103-1287 | 2006-11-15 |
| 1437229713 | Medsinbox Ltc LLC | Pharmacy | 2319 Federal St, Camden, NJ 08105-1929 | 2006-11-08 |
| 1336235902 | Jayhawk Holdings Inc | Pharmacy | 2626 Federal St, Camden, NJ 08105-1936 | 2006-10-04 |
| Find all providers in CAMDEN | ||||
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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.