Kyle Martin Jenkins, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

069076 Issued in NY

Practice address

175 Broad St
Glens Falls, NY 12801-4119

Phone

(518) 793-0843

NPI assigned

Aug 3, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martin'S Foods of South Burlington, LLC

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1306574215
  NPD (past)
• Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1952419335
  NPD (past)
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Southern Pines, NC
  • NPI 1538999107
  NPD (past)
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Matthews, NC
  • NPI 1851499404
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1023628328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014119",
            "telephone_number": "518-793-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014119",
            "telephone_number": "518-793-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KYLE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Punit Jain, O.D.
• Shannon James
• Jamie Cohn DDS PLLC
• Jeffrey Lewis Jarett, OD
• Jason a Campopiano PT PLLC
• Jennifer Powers PHD Licensed Psychologist PLLC
• Jennifer Rowley MD PLLC
• Jes Medi Transport LLC
• Jitendra Singh M.D. P.C.
• Jitendra Singh, MD, P.C.

• All providers in Glens Falls, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.