KEESEVILLE PHARMACY INC NPI 1245318658

NPI Information

  • NPI: 1245318658
  • Provider Name: KEESEVILLE PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: KEESEVILLE PHARMACY INC
  • CLIA Number: 33D2186040
  • Address: 1730 FRONT ST
    KEESEVILLE, NY
    ZIP 12944
  • Phone: (518) 834-6090

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NPI Details

KEESEVILLE PHARMACY INC is a community/retail pharmacy pharmacy in Keeseville, NY. The provider is 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. KEESEVILLE PHARMACY INC NPI is 1245318658. The provider is registered as an organization entity type.
The provider Is Doing Business As Keeseville Pharmacy Inc.

The provider's business location address is:

1730 FRONT ST
KEESEVILLE, NY
ZIP 12944-618
Phone: (518) 834-6090
Fax: (518) 834-7021

The provider's authorized official is Daniel Bosley .
The authorized official title is Supv Phrm and has the following contact phone number (518) 834-6090.

The CLIA number assigned to this NPI record is 33D2186040 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Admn sarscov2 vacc 1 dose (HCPCS:90480)
  • Sarscov2 vac 50 mcg/0.5ml im (HCPCS:91322)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, inactivated (HCPCS:90653)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 11/2/2006 and was last updated on 6/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy017834NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12061794OTHERPK
20860130001MEDICARE NSC
300775571MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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