KPH HEALTHCARE SERVICES, INC. (NPI# 1770690497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770690497 |
| Entity Type | Organization |
| Organization Name | KPH HEALTHCARE SERVICES, INC. |
| Other Organization Name | KINNEY DRUGS #31 |
| Practice Address |
5221 West Taft Road North Syracuse NY 13212 |
| Mailing Address |
29 E Main St Gouverneur NY 13642-1401 |
| Practice Telephone | 3154522770 |
| Mailing Telephone | 3152873600 |
| Mailing Fax Number | 3152874291 |
| Enumeration Date | 2006-08-25 |
| 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 | 022720 | NY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3398953 | 01 | |
| NY | 01620084 | 05 |
| Other Name | Type Code |
|---|---|
| Kinney Drugs #31 | 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 |
5221 WEST TAFT ROAD |
| City | NORTH SYRACUSE |
| State | NY |
| Zip Code | 13212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845749 | Branches of Growth Mental Health Counseling, Pllc | Counselor | 3709 Brewerton Rd, Syracruse, NY 13212 | 2019-01-24 |
| 1821574070 | Nadia Marie James | Licensed Practical Nurse | 7175 Rose Wood Circle, North Syracuse, NY 13212 | 2018-07-11 |
| 1306364534 | Shonna Jolene Brodhead | Social Worker | Brightpath Counseling, 7266 Buckley Road, North Syracuse, NY 13212 | 2017-09-08 |
| 1477915189 | Karen Filapello | Speech-Language Pathologist | 320 Gateway Park Drive, @ Precision Contractors, N. Syracuse, NY 13212 | 2016-03-22 |
| 1285017095 | Lacey Foster | Skilled Nursing Facility | 5991 East Taft Rd, North Syracuse, NY 13212 | 2015-06-30 |
| 1346500345 | Wahienhawi Hall | Counselor | 7266 Buckley Rd., Bright Path Counseling Center, North Syracuse, NY 13212 | 2012-05-23 |
| 1316253768 | Jenny Barnum | Nurse Practitioner | 5232 Witz Dr, North Syracuse, NY 13212 | 2010-08-24 |
| 1063738797 | Gregory 'greg' Procopio | Registered Nurse | 308 Charlane Parkway, North Syracuse, NY 13212 | 2010-04-20 |
| 1316142243 | Carrie Marie Vincent | Specialist | 401north Main Street, North Syracuse, NY 13212 | 2007-06-20 |
| 1245307594 | Lynda Robin Kreitzer | Podiatrist | 316 South Main Street, North Syracuse, NY 13212 | 2006-11-30 |
| Find all providers in zip 13212 | ||||
| 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 |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH SYRACUSE |
| Zip Code | 13212 |
Please comment or provide details below to improve the information on KPH HEALTHCARE SERVICES, INC..
| 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.