KELLYS PHARMACY INC (NPI# 1902215213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902215213 |
| Entity Type | Organization |
| Organization Name | KELLYS PHARMACY INC |
| Other Organization Name | KELLY'S PHARMACY INC. |
| Practice Address |
34 Hope Plz West Coxsackie NY 12192-1225 |
| Mailing Address |
34 Hope Plaza West Coxsackie NY 12192-1225 |
| Practice Telephone | 5187314800 |
| Practice Fax Number | 5187314801 |
| Mailing Telephone | 5187314800 |
| Mailing Fax Number | 5187314801 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MARTIN KELLY (PRESIDENT) |
| Authorized Official Telephone | 5189664800 |
| Authorized Official Credential | BS PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
032987 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2147255 | 01 |
| Other Name | Type Code |
|---|---|
| Kelly's Pharmacy Inc. | Doing Business As Name - Organization |
| Street Address |
34 HOPE PLZ |
| City | WEST COXSACKIE |
| State | NY |
| Zip Code | 12192-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396753398 | Hoerning Pharmacy Inc | Pharmacy | 34 Hope Plz, West Coxsackie, NY 12192-1225 | 2006-08-04 |
| 1831516442 | Hoerning Pharma Inc | Pharmacy | 34 Hope Plz, West Coxsackie, NY 12192-1225 | 2014-03-20 |
| 1154609758 | Ann F Withjack | Pharmacist | 34 Hope Plz, West Coxsackie, NY 12192-1225 | 2011-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801433941 | Jolene Marie Yost | Massage Therapist | 11831 Us 9w, West Coxsackie, NY 12192 | 2019-12-09 |
| 1093190555 | Erin Kimberly Smith I | Physical Therapist | 11831 Us-9w, West Coxsackie, NY 12192 | 2015-07-27 |
| 1639402639 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 9 Law Street, West Coxackie, NY 12192 | 2009-09-09 |
| 1477714236 | Marvin A. Gertzberg, D.d.s. | Dentist | 12498 Us Rte 9w, West Coxsackie, NY 12192 | 2008-06-24 |
| 1518091818 | John R Riker Dc Pllc | Chiropractor | 11824 Rt. 9w, Suite 2, W. Coxsackie, NY 12192 | 2007-03-16 |
| 1467520676 | Alan Palmer | Physical Therapist | 11831 Route 9w, W. Coxsackie, NY 12192 | 2006-12-04 |
| 1578709150 | Dawn L Lindberg | Physician Assistant | 11835 Rt 9w, West Coxsackie, NY 12192 | 2009-01-02 |
| 1053703264 | Hudson Valley Foot Associates, LLP | Podiatrist | 28 Hope Plz, W Coxsackie, NY 12192-1225 | 2015-02-25 |
| 1023169240 | Joshua Tripp Rosenfield | Internal Medicine | 9 Law St, W Coxsackie, NY 12192-1300 | 2007-01-15 |
| 1609360809 | Nadja Rogers | Nurse Practitioner | 9 Law St, West Coxsackie, NY 12192-1300 | 2018-06-20 |
| Find all providers in zip 12192 | ||||
| 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 |
|---|---|---|---|---|
| 1396753398 | Hoerning Pharmacy Inc | Pharmacy | 34 Hope Plz, West Coxsackie, NY 12192-1225 | 2006-08-04 |
| 1831516442 | Hoerning Pharma Inc | Pharmacy | 34 Hope Plz, West Coxsackie, NY 12192-1225 | 2014-03-20 |
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|---|---|---|---|---|
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| 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 | WEST COXSACKIE |
| Zip Code | 12192 |
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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.