Organization Active NPI

Kennies Market Inc

  • Community/Retail Pharmacy
  • Littlestown, PA
National Provider Identifier
1811921893
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415708L Issued in PA
Legal business name
KENNIES MARKET INC
Doing business as
KENNIES PHARMACY
Practice address
520 W King St
Littlestown, PA 17340-1414
Phone
(717) 359-9899
Fax
(717) 359-9799
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Marion Lambert, RPH
Title
Lead Pharmacist/Ao
Phone
(717) 359-9899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP415708L PA Primary

Addresses

Primary practice location

520 W King St
Littlestown, PA 17340-1414

Mailing address

520 W King St
Littlestown, PA 17340-1414
Phone (717) 359-9899

Other identifiers 2

IdentifierTypeStateIssuer
2085137OtherPK
1007388500003MedicaidPA

Other names 1

  • KENNIES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053876 PA DME Supplier - PharmacyDME Supplier - Grocery Store 5193836864 Practice locations: Littlestown, PA
O20181227001612 PA Part B Supplier - Mass Immunization (Roster Biller Only) 5193836864 1 other NPI on this enrollment
Practice locations: Littlestown, PA; Spring Grove, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

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
Kennie'S Pharmacy520 W King St, Littlestown, PA 17340-1414(717) 359-9899 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Sep 21, 2000

National Provider Directory

National Provider Directory
Tax ID family
Kennies Market Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

520 W King St
Littlestown, PA 17340
Phone (717) 359-9899

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1811921893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W KING ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401414",
            "telephone_number": "717-359-9899",
            "fax_number": "717-359-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W KING ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401414",
            "telephone_number": "717-359-9899",
            "fax_number": "717-359-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNIES MARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "LEAD PHARMACIST/AO",
        "authorized_official_telephone_number": "717-359-9899",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415708L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007388500003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENNIES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littlestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.

Verify at the official NPI Registry.