Active NPI
James Robert McIntosh, PHARMD
- Pharmacist
- Malone, NY
National Provider Identifier
1114438298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062799
- Practice address
- 31 6TH St Ste 101
Malone, NY 12953-1246 - Phone
- (518) 317-4016
- Fax
- (518) 317-4018
- NPI assigned
- Oct 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062799 | NY | Primary |
Addresses
Primary practice location
31 6TH St Ste 101
Malone, NY 12953-1246
Mailing address
29 E Main St
Gouverneur, NY 13642-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062799 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinnect Healthcare Services, Inc. | Current | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients |
Locations
29 E Main St
Gouverneur, NY 13642
Phone (315) 287-3600
31 6th St
Ste 101
Malone, NY 12953
Phone (518) 317-4016
Organizations & group practices 3
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.
-
dba Kinnect Healthcare Services #300
- Long Term Care Pharmacy
- Malone, NY
- NPI 1831720010
-
dba Kinney Drugs #16
- Community/Retail Pharmacy
- Canton, NY
- NPI 1730296914
-
dba Kinney Drugs #153
- Community/Retail Pharmacy
- Brattleboro, VT
- NPI 1407747157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1114438298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 E MAIN ST",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "136421401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 6TH ST STE 101",
"city": "MALONE",
"state": "NY",
"postal_code": "129531246",
"telephone_number": "518-317-4016",
"fax_number": "518-317-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-17",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "062799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.