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KINNEY DRUGS #91
NPI 1417072067
Pharmacy - Community/Retail Pharmacy in Potsdam, NY

Active since March 20, 2007CLIA 33D2186238 · Waiver
48 MAPLE ST, POTSDAM, NY 13676(315) 262-0529(315) 265-2990 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kinney Drugs #91 NPPES

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

KINNEY DRUGS #91 (NPI 1417072067) is a healthcare organization registered as a community/retail pharmacy in Potsdam, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Elizabeth M Marlow, Third Party Administrator, as its authorized official.

NPPES Registry Identity

NPI1417072067
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKPH HEALTHCARE SERVICES, INC.
Location Address48 MAPLE STPotsdam, NY 13676-1124
Mailing Address29 E Main StGouverneur, NY 13642-1401 · (315) 287-3600 · Fax (315) 287-4291
Phone(315) 262-0529
Fax(315) 265-2990
Organization SubpartNo
Authorized OfficialElizabeth M MarlowThird Party Administrator · (315) 287-3600
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 4, 2024
NPPES CertifiedJuly 4, 2024
✔ NPI 1417072067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 028329
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.

48 MAPLE ST, Potsdam, NY 13676
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Other Names 1

Doing Business AsKinney Drugs #91

Other Identifiers 2

Other028329NY · Pharmacy State License
Medicaid02863752NY

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 33D2186238

Kinney Drugs No 91 · Potsdam, NY
Active · expires Mar 26, 2027
CLIA Number33D2186238
Laboratory TypePharmacy
Certificate Effective DateJune 16, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Warren Silverman
Laboratory Phone(315) 262-0529
Laboratory LocationKinney Drugs No 9148 Maple St, Potsdam, NY 13676
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
263 services262 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.
143 services143 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.
98 services98 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Kinney Drugs #91 carries, from the Medicare DMEPOS supplier directory.

Kinney Drugs #91

DMEPOS supplier · Potsdam, NYOperated by Kph Healthcare Services Inc
✔

Accepts Medicare assignment

Kinney Drugs #91 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)20415455
Medicare Participant SinceMarch 1, 2020
Supplier Location48 Maple StPotsdam, NY 13676
Phone(315) 262-0529
Supplier Specialties
Certified Other 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 9

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

JOE D TYSON R.PH.
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529
MARY-ELIZABETH DARROW RPH
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529
MATTHEW MICHAEL CROUGH
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529
MS. KATELIN LAUREN MAKI PHARM D
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529
DR. ALEYA RODRIGUEZ PHARMD
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529
JOSHUA MIKA GUIRY PHARMD
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529
CASSANDRA SCHNEIDER PHARM.D
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529
DR. MELISSA JO JOHNSON PHARMD
Pharmacist
48 MAPLE ST
POTSDAM, NY 13676
St. Lawrence County (315) 262-0529

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 1417072067. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Kph Healthcare Services, Inc. located?

Kph Healthcare Services, Inc. is located at 48 Maple St, Potsdam, NY 13676. The listed phone number is (315) 262-0529.

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.

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

Yes. As a Medicare medical equipment supplier, Kinney Drugs #91 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 33D2186238) 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 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 Arizona Complete Health and 46 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 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.