# KINEXION LTC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669349296
- **Authorized official:** MAYUR PATEL (MEMBER)
- **Authorized official phone:** (845) 401-5301

## Contact information

- **Practice address:** 51 TERRYVILLE RD FL 2, PORT JEFFERSON STATION, NY 11776-1331
- **Practice address phone:** (631) 509-1470
- **Practice address fax:** (631) 509-1474
- **Mailing address:** 51 TERRYVILLE RD FL 2, PORT JEFFERSON STATION, NY 11776-1331
- **Mailing address phone:** (631) 509-1470
- **Mailing address fax:** (631) 938-8479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 07/27/2026