NPIMap

Organization Active NPI

KPH Healthcare Services, Inc.

Doing business as Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
National Provider Identifier
1407747157
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KPH HEALTHCARE SERVICES, INC.
Doing business as
Kinney Drugs #153
Practice address
499 Canal St Ste 3
Brattleboro, VT 05301-3421
Phone
(802) 257-4204
Fax
(802) 257-4766
NPI assigned
Jul 11, 2025
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Brian J ScottNPI 1558693994
Title
VP Pharmacy Supply Chain Optimizati
Phone
(315) 413-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

499 Canal St Ste 3
Brattleboro, VT 05301-3421

Mailing address

29 E Main St
Gouverneur, NY 13642-1401
Phone (315) 287-3600

Other names 1

  • Kinney Drugs #153 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110119001247 VT Part B Supplier - Mass Immunization (Roster Biller Only) 9830217637 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cambridge, VT; Waterbury, VT; Vergennes, VT; South Burlington, VT; Shelburne, VT; Saint Johnsbury, VT; Saint Albans, VT; Randolph, VT…
O20250930002439 VT DME Supplier - Pharmacy 9830217637 Practice locations: Brattleboro, VT

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
KPH Healthcare Services Inc499 Canal St, Brattleboro, VT 05301-3421(802) 257-4204 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Wa… Accepts assignmentParticipating since Mar 1, 2020

National Provider Directory

National Provider Directory
Tax ID family
Kinney VT Drugs Inc No 2188 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 64)

40 Terrill Park Dr
#114
Concord, NH 03301
Phone (855) 493-3823

62 Owasco St
Auburn, NY 13021
Phone (315) 252-9204

7998 State Route 31
Bridgeport, NY 13030
Phone (315) 633-0073

7998 State Route 31
#37
Bridgeport, NY 13030
Phone (315) 287-3600

401 State St
Carthage, NY 13619
Phone (315) 493-0150

41 Albany St
Cazenovia, NY 13035
Phone (315) 655-3451

540 Genesee St
Chittenango, NY 13037
Phone (315) 687-6110

540 Genesee St
#46
Chittenango, NY 13037

8150 Thompson Rd
Cicero, NY 13039
Phone (315) 699-0340

14 Clinton Ave
Cortland, NY 13045
Phone (607) 753-1591

3666 State Route 281
Cortland, NY 13045
Phone (607) 339-0628

55 N Main St
Dolgeville, NY 13329
Phone (315) 429-8565

7065 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 656-9925

100 N Main St
Ste L05
Elmira, NY 14901
Phone (607) 271-9794

17 Clinton St
#1
Gouverneur, NY 13642

31 E Main St
Gouverneur, NY 13642
Phone (866) 287-9885

371 E Main St
#34
Gouverneur, NY 13642

40 1st St
Ilion, NY 13357
Phone (315) 894-2381

1954 Saranac Ave
Lake Placid, NY 12946
Phone (518) 523-2011

437 Electronics Pkwy
Liverpool, NY 13088
Phone (315) 453-1750

437 Electronics Pkwy
#79
Liverpool, NY 13088

20 Forgham St
Lyons, NY 14489
Phone (315) 946-6699

485 E Main St
Malone, NY 12953
Phone (518) 483-3371

7660 Highbridge Rd
Manlius, NY 13104
Phone (315) 692-9000

210 N Main St
Massena, NY 13662
Phone (315) 764-7153

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Life Healthcare, Corp.Hoffman Estates, IL, CCN 148166 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020

Practitioners & affiliated clinicians

Practitioners 375

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 375

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1407747157",
    "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",
            "telephone_number": "315-287-3600",
            "fax_number": "315-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CANAL ST STE 3",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013421",
            "telephone_number": "802-257-4204",
            "fax_number": "802-257-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPH HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP PHARMACY SUPPLY CHAIN OPTIMIZATI",
        "authorized_official_telephone_number": "315-413-7800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinney Drugs #153",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.