Active NPI
Katelyn Kinkler, PHARMD
- Pharmacist
- Pine Bush, NY
National Provider Identifier
1871194159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063201
- Practice address
- 31 Ted Dr
Pine Bush, NY 12566-7032 - Phone
- (845) 744-4827
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 063201 | NY | Primary |
Addresses
Primary practice location
31 Ted Dr
Pine Bush, NY 12566-7032
Mailing address
31 Ted Dr
Pine Bush, NY 12566-7032
Phone (845) 744-4827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063201 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin's Foods of South Burlington, LLC | Past | Accepting new patients | |
| Martins Foods of South Burlington LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Hannaford Supermarket & Pharmacy
- Community/Retail Pharmacy
- Troy, NY
- NPI 1306574215
-
dba Hannaford Food and Drug
- Community/Retail Pharmacy
- Pine Bush, NY
- NPI 1497863872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1871194159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 TED DR",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125667032",
"telephone_number": "845-744-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 TED DR",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125667032",
"telephone_number": "845-744-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINKLER",
"first_name": "KATELYN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bush, NY
- Hudson Valley Wellness & Chirpractic, PC (Hudson Valley Wellness Center)
- Jean Imparato
- Jennifer Geddes Nurse Practitioner in Psychiatry PLLC
- Catherine Marie Johnson, FNP-C
- Judith Purdell-Heckathorn LCSW PLLC
- Linda A Larocco, DNP, ANP-BC, FNP
- Thomas J Larosa, D.C.
- Zoryn Lazarus-Theodore, LCSW
- Linda a. Larocco, Family Nurse Practitioner, PLLC
- James Benjamin Loporto, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.