DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KPH HEALTHCARE SERVICES, INC.

MEDICARE: KPH HEALTHCARE SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy0380001199VT
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14701199OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235246414
Entity Type Code : Organization
Provider Name (Legal Business Name) : KPH HEALTHCARE SERVICES, INC.
Provider Business Mailing Address
First Line : 29 E MAIN ST
Second Line :
City : GOUVERNEUR
State : NY
Zip : 13642-1401
Country : US
Telephone Number : 315-287-3600
Fax Number : 315-287-4291
Provider Business Practice Location Address
First Line : 82 PEARL ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3642
Country : US
Telephone Number : 802-878-5351
Fax Number : 802-878-6772
Authorized Official
Title or Position : THIRD PARTY ADMINISTRATOR
Name : ELIZABETH M MARLOW
Credential :
Telephone Number : 315-287-3600
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/03/2024

Similar Medicare Providers

1518280825 — DR. LAURA RACICOT PHARM D
Practice Location Address:
82 PEARL ST
ESSEX JUNCTION, VT
05452-3642
Practice Phone: 802-878-5351
Practice Fax:
1366754962 — STACY EMILY BRUYNS RPH
Practice Location Address:
82 PEARL ST
ESSEX JUNCTION, VT
05452-3642
Practice Phone: 802-878-5351
Practice Fax:
1083086490 — TOMI TANGHE
Practice Location Address:
82 PEARL ST
ESSEX JUNCTION, VT
05452-3642
Practice Phone: 802-878-5351
Practice Fax:
1780166306 — BRITTANY ALLEN
Practice Location Address:
82 PEARL ST
ESSEX JUNCTION, VT
05452-3642
Practice Phone: 315-414-6348
Practice Fax:
1376158543 — LISA LYNCH
Practice Location Address:
82 PEARL ST
ESSEX JUNCTION, VT
05452-3642
Practice Phone: 802-878-5351
Practice Fax:
1023695236 — RYAN AYRES
Practice Location Address:
82 PEARL ST
ESSEX JUNCTION, VT
05452-3642
Practice Phone: 802-878-5351
Practice Fax:

Directions to “KPH HEALTHCARE SERVICES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.