Active NPI
Kennies Market Inc
- Community/Retail Pharmacy
- Littlestown, PA
National Provider Identifier
1811921893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP415708L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2085137 | Other | PK | |
| 1007388500003 | Medicaid | PA |
Other names 1
- KENNIES PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053876 | PA | DME Supplier - Pharmacy | 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 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 |
|---|---|---|
| Kennie'S Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Kennies Market Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Spring Grove, PA
- NPI 1083648067
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.