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KINNEY DRUGS #102
NPI 1831417690
Pharmacy - Community/Retail Pharmacy in Randolph, VT

Active since May 04, 2010CLIA 47D2235434 · Waiver
151 VERMONT ROUTE 12 SOUTH, RANDOLPH, VT 05060(802) 728-6284(802) 728-6287 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kinney Drugs #102 NPPES

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

KINNEY DRUGS #102 (NPI 1831417690) is a healthcare organization registered as a community/retail pharmacy in Randolph, Vermont and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Elizabeth M Marlow, Third Party Administrator, as its authorized official.

NPPES Registry Identity

NPI1831417690
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKPH HEALTHCARE SERVICES, INC.
Location Address151 VERMONT ROUTE 12 SOUTHRandolph, VT 05060-9237
Mailing Address29 E Main StGouverneur, NY 13642-1401 · (315) 287-3600 · Fax (315) 287-4291
Phone(802) 728-6284
Fax(802) 728-6287
Organization SubpartNo
Authorized OfficialElizabeth M MarlowThird Party Administrator · (315) 287-3600
Enumeration DateMay 4, 2010
Last NPPES UpdateJuly 4, 2024
NPPES CertifiedJuly 4, 2024
✔ NPI 1831417690 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 · 0380066144
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.
151 VERMONT ROUTE 12 SOUTH, Randolph, VT 05060
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Other Names 1

Doing Business AsKinney Drugs #102

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 47D2235434

Kinney Drugs #102 · Randolph, VT
Active · expires Sep 8, 2027
CLIA Number47D2235434
Laboratory TypePharmacy
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorWarren Silverman
Laboratory Phone(802) 728-6284
Laboratory LocationKinney Drugs #102151 Vermont Route 12 South, Randolph, VT 05060
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 4

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.
276 services272 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.
130 services130 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.
110 services110 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Kinney Drugs #102 carries, from the Medicare DMEPOS supplier directory.

Kinney Drugs #102

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

Accepts Medicare assignment

Kinney Drugs #102 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)20415269
Medicare Participant SinceMarch 1, 2020
Supplier Location151 Vt Route 12 SRandolph, VT 05060
Phone(802) 728-6284
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.

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 1831417690. It was assigned to this organization in the NPPES registry on May 4, 2010. The provider is doing business as Kinney Drugs #102.

Where is Kph Healthcare Services, Inc. located?

Kph Healthcare Services, Inc. is located at 151 Vermont Route 12 South, Randolph, VT 05060. The listed phone number is (802) 728-6284.

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 #102 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 47D2235434) is associated with this NPI, valid through September 8, 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 47 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 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.