KINNEY DRUGS #105
NPI 1013203074
Pharmacy - Community/Retail Pharmacy in Barton, VT

Active since June 28, 2011CLIA 47D2350042 · Waiver
16 CHURCH ST, BARTON, VT 05822(802) 525-4098(802) 525-3794 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 3, 2024, Oct 29, 2018 (2 updates tracked since 2018).

About Kinney Drugs #105 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINNEY DRUGS #105 (NPI 1013203074) is a healthcare organization registered as a community/retail pharmacy in Barton, Vermont and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through September 1, 2028 and lists Elizabeth M Marlow, Third Party Administrator, as its authorized official.

NPPES Registry Identity

NPI1013203074
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKPH HEALTHCARE SERVICES, INC.
Location Address16 CHURCH STBarton, VT 05822-8511
Mailing Address29 E Main StGouverneur, NY 13642-1401 · (315) 287-3600 · Fax (315) 287-4291
Fax(802) 525-3794
Organization SubpartNo
Authorized OfficialElizabeth M MarlowThird Party Administrator · (315) 287-3600
Enumeration DateJune 28, 2011
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1013203074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in VT · 0380077454RPPP
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
16 CHURCH ST, Barton, VT 05822

Other Names 1

Doing Business AsKinney Drugs #105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kinney Drugs #105 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVermontEnrollment IDO20120516000039DME · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D2350042

Kinney Drugs #105 · Barton, VT
Active · expires Sep 1, 2028
CLIA Number47D2350042
Laboratory TypePharmacy
Certificate Effective DateSeptember 2, 2026
Certificate Expiration DateSeptember 1, 2028
Laboratory DirectorWarren Silverman
Laboratory Phone(802) 525-4098
Laboratory LocationKinney Drugs #10516 Church St, Barton, VT 05822
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
525 services525 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
514 services514 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Kinney Drugs #105 carries, from the Medicare DMEPOS supplier directory.

Kinney Drugs #105

DMEPOS supplier · Barton, VTOperated by Kph Healthcare Services Inc
✔

Accepts Medicare assignment

Kinney Drugs #105 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20415419
Medicare Participant SinceMarch 1, 2020
Supplier Location16 Church StreetBarton, VT 05822
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
16 CHURCH ST
BARTON, VT 05822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kph Healthcare Services, Inc.'s NPI number?

The NPI number for Kph Healthcare Services, Inc. is 1013203074. It was assigned to this organization in the NPPES registry on June 28, 2011. The provider is doing business as Kinney Drugs #105.

Where is Kph Healthcare Services, Inc. located?

Kph Healthcare Services, Inc. is located at 16 Church St, Barton, VT 05822. The listed phone number is (802) 525-4098.

What is Kph Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Kph Healthcare Services, Inc. enrolled in Medicare?

Yes. Kph Healthcare Services, Inc. is registered in the Medicare PECOS enrollment system.

When is Kph Healthcare Services, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Vermont, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Kph Healthcare Services, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kinney Drugs #105 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kph Healthcare Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2350042) is associated with this NPI, valid through September 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kph Healthcare Services, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Kph Healthcare Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kph Healthcare Services, Inc. was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.