OrganizationActive
Kph Healthcare Services, Inc.
NPI 1316054596 · Community/Retail Pharmacy · South Burlington, VT
Provider details
- NPI number
- 1316054596
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Elizabeth Marlow, Third Party Administrator(315) 287-3600
- License
- 0380003310 (VT)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1653 Williston Rd
South Burlington, VT 05403-6426
Phone: (802) 806-0714
Fax: (802) 860-1407
Approximate (ZIP-level) locationGet directions
Mailing address
29 E Main St
Gouverneur, NY 13642-1401
Other names (DBA / former)
- Doing business as
- Kinney Drugs #55
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.