Active NPI
Kirk William Courneen, RPH
- Pharmacist
- Albany, NY
National Provider Identifier
1366693152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052062
- Practice address
- 1892 Central Ave
Price Chopper
Albany, NY 12205 - Phone
- (518) 456-9360
- NPI assigned
- Oct 10, 2008
- Sex
- Male
- 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 | 052062 | NY | Primary |
Addresses
Primary practice location
1892 Central Ave
Price Chopper
Albany, NY 12205
Mailing address
209 Stanford Dr
Schenectady, NY 12303-5062
Phone (518) 423-9541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01039638 | Medicaid | NY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052062 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golub Corporation | Past | Accepting new patients | |
| Golub Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Albany, NY
- NPI 1962415380
-
- Community/Retail Pharmacy
- Burlington, VT
- NPI 1083727002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1366693152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 STANFORD DR",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123035062",
"telephone_number": "518-423-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1892 CENTRAL AVE",
"address_2": "PRICE CHOPPER",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-456-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURNEEN",
"first_name": "KIRK",
"middle_name": "WILLIAM",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01039638",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
- Counseling for Restored Hope LCSW, P.L.L.C.
- Counseling Service of the Episcopal Diocese of Albany, Inc
- Chandler Countryman, FNP
- County of Albany Department of Health
- Emily Couper
- Adria Lee Couse
- Melonie Lee Cousin, SLP
- Jonathan Cousins, MD
- Cove Licensed Behavior Analyst Serv Ices PLLC
- Anthony B Covert, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.