Active NPI
Kinnect Healthcare Services, Inc.
- Long Term Care Pharmacy
- Malone, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- KINNECT HEALTHCARE SERVICES, INC.
- Practice address
- 31 6TH St Ste 101
Malone, NY 12953-1246 - Phone
- (518) 317-4016
- Fax
- (518) 317-4018
- NPI assigned
- Jan 28, 2020
- 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
- Debra V Barber
- Title
- VP Managed Care Contracting & Payor
- Phone
- (315) 287-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
31 6TH St Ste 101
Malone, NY 12953-1246
Mailing address
29 E Main St
Gouverneur, NY 13642-1401
Phone (315) 287-3600
Other names 1
- Kinnect Healthcare Services #300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200512001140 | NY | DME Supplier - Pharmacy | 4789015504 | Practice locations: Malone, NY |
| O20200813003271 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789015504 | Practice locations: Malone, 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 |
|---|---|---|
| Kinnect Healthcare Services, Inc. | 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… | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
31 6th St
Ste 101
Malone, NY 12953
Phone (518) 317-4016
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Gouverneur, NY
- NPI 1306169438
-
- Pharmacist
- Malone, NY
- NPI 1114438298
-
- Pharmacist
- Malone, NY
- NPI 1881143881
-
- Pharmacist
- Malone, NY
- NPI 1528513611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1831720010",
"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": "315-287-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 6TH ST STE 101",
"city": "MALONE",
"state": "NY",
"postal_code": "129531246",
"telephone_number": "518-317-4016",
"fax_number": "518-317-4018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINNECT HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-28",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "BARBER",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "VP MANAGED CARE CONTRACTING & PAYOR",
"authorized_official_telephone_number": "315-287-3600"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kinnect Healthcare Services #300",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kinnect Healthcare Services #300",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.