KPH HEALTHCARE SERVICES, INC.

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.

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Contact Information

KPH HEALTHCARE SERVICES, INC.

261 UTICA BOULEVARD
BOONVILLE, NY 13309

Phone: 315-978-5466
Fax: 315-978-5467
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KPH HEALTHCARE SERVICES, INC.

NPI # 1336347822

LBN Legal business name KPH HEALTHCARE SERVICES, INC.

Authorized official ELIZABETH MARLOW - (THIRD PARTY ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2007

Last updated 07/04/2024 - More than a year ago

Identifiers

NY	License #	028488
NY	Medicaid	02886597
NY	Other	3354812	NCPDP
NY	Other	028488	STATE PHARMACY LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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