KEESEVILLE PHARMACY INC
NPI 1245318658
Pharmacy - Community/Retail Pharmacy in Keeseville, NY

Q: What is Keeseville Pharmacy Inc's NPI number?

The NPI number for Keeseville Pharmacy Inc is 1245318658. It was assigned to this organization in the NPPES registry on November 2, 2006.

Q: What is Keeseville Pharmacy Inc's specialty?

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

Active since November 02, 2006CLIA 33D2186040 · Waiver

1730 FRONT ST, KEESEVILLE, NY 12944(518) 834-6090(518) 834-7021 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keeseville Pharmacy Inc NPPES

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

KEESEVILLE PHARMACY INC (NPI 1245318658) is a healthcare organization registered as a community/retail pharmacy in Keeseville, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Daniel Bosley, Supv Phrm, as its authorized official.

NPPES Registry Identity

NPI1245318658

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKEESEVILLE PHARMACY INC

Location Address1730 FRONT STKeeseville, NY 12944-3618

Mailing Address1730 Front StKeeseville, NY 12944-3618 · (518) 834-6090 · Fax (518) 834-7021

Phone(518) 834-6090

Fax(518) 834-7021

Organization SubpartNo

Authorized OfficialDaniel BosleySupv Phrm · (518) 834-6090

Enumeration DateNovember 2, 2006

Last NPPES UpdateJune 23, 2016

✔ NPI 1245318658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NY · 017834

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

1730 FRONT ST, Keeseville, NY 12944

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Other Names 1

Doing Business AsKeeseville Pharmacy Inc

Other Identifiers 3

Other2061794Pk

Medicare NSC0860130001

Medicaid00775571NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 33D2186040

Keeseville Pharmacy Inc · Keeseville, NY

Active · expires Mar 26, 2027

CLIA Number33D2186040

Laboratory TypePharmacy

Certificate Effective DateJune 12, 2020

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Chester H. Fox

Laboratory Phone(518) 834-6090

Laboratory LocationKeeseville Pharmacy Inc1730 Front St, Keeseville, NY 12944

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 3

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.

96 services96 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

63 services63 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.

27 services27 patients

Medical Equipment Supplier Medicare DMEPOS 33

Medicare supplier enrollment and the product categories Keeseville Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Keeseville Pharmacy Inc

DMEPOS supplier · Keeseville, NY

⋮

Does not accept Medicare assignment

Keeseville Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20616743

Medicare Participant SinceJune 6, 2001

Supplier Location1730 Front StKeeseville, NY 12944

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

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

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Ultraviolet Light Devices and/or Supplies

Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchairs (Complex Rehabilitative Manual)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehab Manual Rel Accessories)

Complex rehabilitative manual wheelchairs

Wheelchairs (Complex Rehabilitative Power)

Complex rehabilitative power wheelchairs

Wheelchairs (Complex Rehab Power Rel Accessories)

Complex rehabilitative power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Neurostimulators and/or Supplies

Rechargable neurostimulators, Non-rechargable neurostimulators

Tracheotomy Supplies

Tracheostomy care kits

Urological Supplies

Catheters, Urinary collection devices

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

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 2

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

KATIE M LEAVINE R.PH.

Pharmacist

1730 FRONT ST
KEESEVILLE, NY 12944

Essex County (518) 834-6090

KEESEVILLE PHARMACY INC

Pharmacy (Long Term Care Pharmacy)

1730 FRONT ST
KEESEVILLE, NY 12944

Essex County (518) 834-6090

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 Keeseville Pharmacy Inc's NPI number?

The NPI number for Keeseville Pharmacy Inc is 1245318658. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Keeseville Pharmacy Inc located?

Keeseville Pharmacy Inc is located at 1730 Front St, Keeseville, NY 12944. The listed phone number is (518) 834-6090.

What is Keeseville Pharmacy Inc's specialty?

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

Does Keeseville Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Keeseville Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Keeseville Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2186040) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keeseville Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Keeseville Pharmacy 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 Keeseville Pharmacy Inc was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.