Active NPI
Kinexion LTC Pharmacy LLC
- Long Term Care Pharmacy
- Port Jefferson Station, NY
National Provider Identifier
1669349296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- KINEXION LTC PHARMACY LLC
- Practice address
- 51 Terryville Rd FL 2
Port Jefferson Station, NY 11776-1331 - Phone
- (631) 509-1470
- Fax
- (631) 509-1474
- NPI assigned
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mayur Patel
- Title
- Member
- Phone
- (845) 401-5301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
51 Terryville Rd FL 2
Port Jefferson Station, NY 11776-1331
Mailing address
51 Terryville Rd FL 2
Port Jefferson Station, NY 11776-1331
Phone (631) 509-1470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260415002333 | NY | Part B Supplier - Pharmacy | 9133695406 | Practice locations: Port Jefferson Station, NY |
| O20260415002483 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133695406 | Practice locations: Port Jefferson Station, NY |
| O20260519002328 | NY | DME Supplier - Pharmacy | 9133695406 | Practice locations: Port Jefferson Station, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kinexion LTC Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
51 Terryville Rd
Fl 2
Port Jefferson Station, NY 11776
Phone (631) 509-1470
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Port Jefferson Station, NY
- NPI 1235736240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1669349296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 TERRYVILLE RD FL 2",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761331",
"telephone_number": "631-509-1470",
"fax_number": "631-938-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 TERRYVILLE RD FL 2",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761331",
"telephone_number": "631-509-1470",
"fax_number": "631-509-1474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINEXION LTC PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MAYUR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "845-401-5301"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.