KPH HEALTHCARE SERVICES, INC. (NPI# 1710094990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710094990 |
| Entity Type | Organization |
| Organization Name | KPH HEALTHCARE SERVICES, INC. |
| Other Organization Name | KINNEY DRUGS #73 |
| Practice Address |
130 Main Street Moravia NY 13118 |
| Mailing Address |
29 E Main St Gouverneur NY 13642-1401 |
| Practice Telephone | 3154979600 |
| Practice Fax Number | 3154979375 |
| 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 | 027002 | NY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3340736 | 01 | |
| NY | 02620524 | 05 |
| Other Name | Type Code |
|---|---|
| Kinney Drugs #73 | 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 |
130 MAIN STREET |
| City | MORAVIA |
| State | NY |
| Zip Code | 13118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316269178 | Janet H Wilde | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2010-02-22 |
| 1720262975 | Bonnie Steger | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144508581 | Susanne Mary Jayne | Licensed Practical Nurse | 3410 White Road, Moravia, NY 13118 | 2011-08-03 |
| 1700210648 | Heather Cameron | Licensed Practical Nurse | 108 Main Street, Apt 1, Moravia, NY 13118 | 2013-08-28 |
| 1467690750 | Patricia W. Shenk | Nursing Home Administrator | 8 South Main Street, Moravia, NY 13118 | 2009-01-26 |
| 1649424607 | Kristy Riel Powers | Licensed Practical Nurse | 5305 Dresserville Road, Moravia, NY 13118-0405 | 2008-11-04 |
| 1134526205 | Tammie S Bush | Licensed Practical Nurse | 5437 Sayles Corners Rd, Moravia, NY 13118-2259 | 2014-12-04 |
| 1679635726 | Susan Lipinoga | Physical Therapist | 8 Van Pelt Ln, Moravia, NY 13118-2306 | 2006-12-15 |
| 1710173455 | Amanda S Worden | Speech-Language Pathologist | 24 S Main St, Moravia, NY 13118-2307 | 2007-09-17 |
| 1548398480 | Moravia Central School District | Local Education Agency (LEA) | 68 S Main St, Moravia, NY 13118-2310 | 2007-03-01 |
| 1124345012 | Kevin D Corson | Licensed Practical Nurse | 1467 Lick St, Moravia, NY 13118-2358 | 2010-04-30 |
| 1790081628 | De-anne Jeanne Cook | Licensed Practical Nurse | 1467 Lick St, Moravia, NY 13118-2358 | 2011-02-10 |
| Find all providers in zip 13118 | ||||
| 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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| 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.