KIMRO INC (NPI# 1922148469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922148469 |
| Entity Type | Organization |
| Organization Name | KIMRO INC |
| Other Organization Name | KIMROS MEDICINE PLACE |
| Practice Address |
511 State St Ogdensburg NY 13669-2672 |
| Practice Telephone | 3153936290 |
| Practice Fax Number | 3153940021 |
| Mailing Telephone | 3153936290 |
| Mailing Fax Number | 3153940021 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | SHANNON DEMERS (PRESIDENT) |
| Authorized Official Telephone | 3153936290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
020034 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2062381 | 01 | |
| NY | 00899330 | 05 |
| Other Name | Type Code |
|---|---|
| KIMROS MEDICINE PLACE | Doing Business As Name - Organization |
| Street Address |
511 STATE ST |
| City | OGDENSBURG |
| State | NY |
| Zip Code | 13669-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992065429 | Natalie Lynn Jackson | Pharmacist | 511 State St, Ogdensburg, NY 13669 | 2012-05-17 |
| 1447572433 | Jason Cross Demers | Pharmacist | 511 State St, Ogdensburg, NY 13669-2672 | 2010-02-18 |
| 1063734051 | Jennifer C Denoncourt | Pharmacist | 511 State St, Ogdensburg, NY 13669-2672 | 2010-02-18 |
| 1215259205 | Kim Murphy Demers | Pharmacist | 511 State St, Ogdensburg, NY 13669-2672 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598274581 | Taylor Mclear | Occupational Therapist | 100 Ford St, Ogdensburg, NY 13669 | 2017-09-22 |
| 1457769267 | Nupur Nagrare | Family Medicine | 100 Horwood Pl, Ogdensburg, NY 13669 | 2014-07-24 |
| 1598008039 | Darcie L Ferro | Counselor | 206 Ford St., Ogdensburg, NY 13669 | 2013-04-03 |
| 1326380999 | United Helpers Mosaic | Nursing Care | 732 Ford Street, Ogdensburg, NY 13669 | 2013-03-21 |
| 1831497346 | Nicole Sovie | Licensed Practical Nurse | 828 Franklin St., Ogdensburg, NY 13669 | 2011-03-08 |
| 1023331105 | Alyssa Megan Murphy | Pharmacist | 723 Canton Street, Ogdensbury, NY 13669 | 2010-03-03 |
| 1023266137 | Tonya Lynn Ott | Licensed Practical Nurse | 618 Irvin St, Ogdensburg, NY 13669 | 2008-09-03 |
| 1659551778 | Jeremy M. Warchol | Physical Therapist | 203 State Street, Northern Physical Therapy, Pllc, Ogdensburg, NY 13669 | 2007-11-06 |
| 1760683353 | Katie Elizabeth Lesperance | Social Worker | 109 Ford Street, Ogdensburg, NY 13669 | 2007-05-30 |
| 1013045632 | Dale Lester Hosmer | Dentist | 414 Jay Street, Ogdensburg, NY 13669 | 2007-03-02 |
| Find all providers in zip 13669 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265800726 | Golub Corporation | Pharmacy | 2981 Ford Street Ext, Suite 9, Ogdensburg, NY 13669-3474 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | OGDENSBURG |
| Zip Code | 13669 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.