# KPH HEALTHCARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kinney Drugs \#153
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407747157
- **Authorized official:** BRIAN J SCOTT (VP PHARMACY SUPPLY CHAIN OPTIMIZATI)
- **Authorized official phone:** (315) 413-7800

## Contact information

- **Practice address:** 499 CANAL ST STE 3, BRATTLEBORO, VT 05301-3421
- **Practice address phone:** (802) 257-4204
- **Practice address fax:** (802) 257-4766
- **Mailing address:** 29 E MAIN ST, GOUVERNEUR, NY 13642-1401
- **Mailing address phone:** (315) 287-3600
- **Mailing address fax:** (315) 477-3241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2025
- **Last updated:** 02/16/2026