KPH HEALTHCARE SERVICES, INC. (NPI# 1952418139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952418139 |
| Entity Type | Organization |
| Organization Name | KPH HEALTHCARE SERVICES, INC. |
| Other Organization Name | KINNEY DRUGS #86 |
| Practice Address |
155 S Main Street Cambridge VT 05444 |
| Mailing Address |
29 E Main St Gouverneur NY 13642-1401 |
| Practice Telephone | 8026448811 |
| Practice Fax Number | 8026442216 |
| 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 | 0380003350 | VT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4704171 | 01 | |
| VT | 1012309 | 05 |
| Other Name | Type Code |
|---|---|
| Kinney Drugs #86 | 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 |
155 S MAIN STREET |
| City | CAMBRIDGE |
| State | VT |
| Zip Code | 05444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275804 | Blake Coulter Mcknight | Nurse Practitioner | 272 North Main Street, #101, Cambridge, VT 05444 | 2017-06-27 |
| 1528350295 | Shelly Houle Rodriguez | Counselor | 1205 Upper Pleasant Valley Rd, Jeffersonville, VT 05444 | 2011-05-12 |
| 1356645741 | Nordic Rehab @ Wellness | Specialist | 272 North Main St, Cambridge, VT 05444 | 2010-12-29 |
| 1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
| 1073537858 | Anna Carey | Family Medicine | 252 North Main St., Cambridge, VT 05444 | 2006-07-26 |
| 1588695720 | Charles Steven Hayes | Physical Therapist | 272 N. Main St., Cambridge, VT 05444 | 2006-07-05 |
| 1316546294 | Steacy Lynne Suddaby | Nurse Practitioner | 272 N Main Street, Suite 101, Cambridge, VT 05444-0102 | 2020-10-21 |
| 1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
| 1144525619 | Susan Lucille Jaynes | Nurse Practitioner | 272 No Main St, Cambridge, VT 05444-0102 | 2011-01-14 |
| 1528442589 | Heather Blair | Dental Hygienist | 34 Kays Way, Cambridge, VT 05444-4455 | 2015-07-18 |
| Find all providers in zip 05444 | ||||
| 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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| 1093814600 | Inman Pharmacy, Inc | Pharmacy | 1414 Cambridge Street, Cambridge, MA 02139 | 2006-09-21 |
| 1659474310 | Revco Discount Drug Centers Inc | Pharmacy | 626 Sunburst Hwy, Cambridge, MD 21613 | 2006-09-07 |
| 1992808612 | Ohio Cvs Stores LLC | Pharmacy | 1116 Wheeling Ave, Cambridge, OH 43725-2508 | 2006-09-07 |
| 1578578704 | Walgreen Co | Pharmacy | 115 Garfield St N, Cambridge, MN 55008-1765 | 2006-07-29 |
| 1255346466 | Walgreen Co | Pharmacy | 625 Massachusetts Ave, Cambridge, MA 02139-3357 | 2006-07-29 |
| 1588689137 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 780 Cambridge Plz, Cambridge, MD 21613-2531 | 2006-07-13 |
| Find all providers in CAMBRIDGE | ||||
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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.