Kevin Gary Coyne

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24045 Issued in MA

Practice address

1282 Springfield St
Feeding Hills, MA 01030-2119

Phone

(413) 789-2226

Fax

(413) 786-2422

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Stop & Shop Supermarket Company LLC

  dba Stop and Shop Pharmacy 782

  • Community/Retail Pharmacy
  • Feeding Hills, MA
  • NPI 1780618652
  NPD (past)
• Stop and Shop Supermarket Co LLC

  dba Stop & Shop Pharmacy 2818

  • Community/Retail Pharmacy
  • Kinnelon, NJ
  • NPI 1932570363
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1679177349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 SPRINGFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302119",
            "telephone_number": "413-789-2226",
            "fax_number": "413-786-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 SPRINGFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302119",
            "telephone_number": "413-789-2226",
            "fax_number": "413-786-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "KEVIN",
        "middle_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "PH24045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Choquette, FNP
• Jacob Clements
• Darashley Marie Colon
• Cornerstone Caregiving East LLC
• Joselin Cortes
• Janasha Caroline Cromwell-Palmer
• Erin Elizabeth Crowley
• Katie D. Defoe-Raymond, RD
• Marlene H Dejesus, LICSW
• Nancy Dell-Cannata, RD

• Community/Retail Pharmacy in Feeding Hills, MA
• Providers in Feeding Hills, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.