KPH HEALTHCARE SERVICES, INC. (NPI# 1871600056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871600056 |
Entity Type | Organization |
Organization Name | KPH HEALTHCARE SERVICES, INC. |
Other Organization Name | KINNEY DRUGS #29 |
Practice Address |
308 Shelburne Rd Burlington VT 05401-4919 |
Mailing Address |
29 E Main St Gouverneur NY 13642-1401 |
Practice Telephone | 8028648154 |
Practice Fax Number | 8026608774 |
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 ADMINISTATOR) |
Authorized Official Telephone | 3152873600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | 0380002470 | VT | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 4702470 | 01 | |
VT | 0006493 | 05 |
Other Name | Type Code |
---|---|
Kinney Drugs #29 | 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 |
308 SHELBURNE RD |
City | BURLINGTON |
State | VT |
Zip Code | 05401-4919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063025997 | Hae Ji Yoon | Pharmacist | 308 Shelburne Rd, Burlington, VT 05401-4919 | 2020-08-29 |
1710359120 | Ian Doig | Pharmacist | 308 Shelburne Rd, Burlington, VT 05401-4919 | 2015-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
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 |
---|---|---|---|---|
1689105082 | Piedmont Health Services Inc | Pharmacy | 1214 Vaughn Rd Ste 104, Burlington, NC 27217-2800 | 2017-03-27 |
1386077634 | Three Guys Pharmacy | Pharmacy | 2479 S Church St, Burlington, NC 27215-5201 | 2013-08-09 |
1639471386 | Walgreen Co | Pharmacy | 623 S Burlington Blvd, Burlington, WA 98233-2209 | 2010-12-01 |
1033344577 | Roundys Supermarkets Inc | Pharmacy | 1008 Milwaukee Ave, Burlington, WI 53105-1362 | 2009-05-28 |
1861545972 | Brown & Cole Stores LLC | Pharmacy | 1500 S Burlington Blvd, Burlington, WA 98233-3220 | 2007-01-19 |
1154473718 | Rajsita2 Inc | Pharmacy | 1005 Sunset Rd, Burlington, NJ 08016-2251 | 2007-01-16 |
1184727869 | North Carolina Cvs Pharmacy LLC | Pharmacy | 2017 W Webb Ave, Burlington, NC 27217-1063 | 2006-09-07 |
1043321896 | Maxwell's Pharmacy, Inc. | Pharmacy | 242 Pearl St, Burlington, VT 05401-8532 | 2006-08-31 |
1922118561 | Costco Wholesale Corporation | Pharmacy | 1725 S Burlington Blvd, Burlington, WA 98233 | 2006-08-30 |
1891800843 | Horens Drug Store | Pharmacy | 130 E Fairhaven Ave, Burlington, WA 98233-1740 | 2006-08-20 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 05401 |
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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.