KPH Healthcare Services, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KPH HEALTHCARE SERVICES, INC.

Doing business as

Kinney Drugs #45

Practice address

10 Main St
Richfield Springs, NY 13439-7737

Phone

(315) 858-3229

Fax

(315) 858-6689

NPI assigned

Aug 24, 2006

Last updated

Jul 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth M Marlow

Title

Third Party Administrator

Phone

(315) 287-3600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kinney Drugs #45 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #87

  • Community/Retail Pharmacy
  • Syracuse, NY
  • NPI 1790892974

  Member Of

  NPD member

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Mae Crawford

  • Pharmacist
  • Richfield Springs, NY
  • NPI 1063216604
  NPD (past)
• Brian Hoyt

  • Pharmacist
  • Richfield Springs, NY
  • NPI 1083086854
  NPD (past)
• Samantha R Maine, PHARMD

  • Pharmacist
  • Richfield Springs, NY
  • NPI 1720429350
  NPD (past)
• Julie Marie Stark, DOCTOR OF PHARMACY

  • Pharmacist
  • Sidney, NY
  • NPI 1467638452
  NPD (past)
• Angela Ward

  • Pharmacist
  • Richfield Springs, NY
  • NPI 1306458633
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1922115104",
    "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": "10 MAIN ST",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "134397737",
            "telephone_number": "315-858-3229",
            "fax_number": "315-858-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPH HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "MARLOW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "315-287-3600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022657",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01577875",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3306734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinney Drugs #45",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Hoyt
• Jamie Defazio
• Tara Jones, M.D.
• Mary Kohler, LPN
• William J Kosina
• Little Falls Hospital (Bassett Healthcare - Richfield Springs)
• Samantha R Maine, PHARMD
• Jennifer Marriott
• Jessica D Miller, FNP
• James Murphy, R.PH.

• Community/Retail Pharmacy in Richfield Springs, NY
• Providers in Richfield Springs, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.