Active NPI
Kera Lynn Coisson, PHARMD, RPH
- Pharmacist
- Kingston, NY
National Provider Identifier
1154887834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064382
- Practice address
- 86 N Front St
Kingston, NY 12401-3832 - Phone
- (845) 338-8000
- Fax
- (845) 338-5128
- NPI assigned
- Feb 18, 2019
- Last updated
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 064382 | NY | Primary |
Addresses
Primary practice location
86 N Front St
Kingston, NY 12401-3832
Mailing address
86 N Front St
Kingston, NY 12401-3832
Phone (845) 338-8000
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064382 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedrick's Pharmacy Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1154887834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 N FRONT ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013832",
"telephone_number": "845-338-8000",
"fax_number": "845-338-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 N FRONT ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013832",
"telephone_number": "845-338-8000",
"fax_number": "845-338-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COISSON",
"first_name": "KERA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.