MEDICARE: KORY MCKAY

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
1	183500000X	Pharmacist	PH1001304	MA

General Provider Information

NPI Number	:	1295600146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KORY MCKAY

Provider Business Mailing Address
First Line	:	18 CLIFTWOOD ST
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-2804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 FEDERAL ST
Second Line	:
City	:	ANDOVER
State	:	MA
Zip	:	01810-1038
Country	:	US
Telephone Number	:	888-321-7945
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	10/09/2025

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Directions to “ KORY MCKAY ” Practice Location

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