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Export Provider Record NPI 1083648067
Kennies Market Inc
Organization Subpart: NO
Active
NPI Number1083648067
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1083648067
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-10
Last Updated2018-07-19
Authorized OfficialMarion Lambert
LEAD PHARMACIST/AO
Phone: 7173594295
Mailing Address440 N Main St
Spring Grove, PA 17362-1122
United States
Phone: (717) 225-9382 | Fax: (717) 225-9362
📍 View Map
Primary Practice Address440 N Main St
Spring Grove, PA 17362-1122
United States
Phone: (717) 225-9382 | Fax: (717) 225-9362
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDPA1007388500001
Other (non-Medicare)2085038PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyPAPP415664L
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About NPI 1083648067

Kennies Market Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083648067. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Spring Grove, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083648067?

NPI 1083648067 belongs to Kennies Market Inc, a Pharmacy, Community/Retail Pharmacy in Spring Grove, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083648067 active?

The current status of NPI 1083648067 in the NPPES registry is Active. The record was last updated on 2018-07-19.

What specialty is NPI 1083648067?

NPI 1083648067 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083648067?

You can verify NPI 1083648067 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083648067?

The primary practice address on file for NPI 1083648067 is 440 N Main St, Spring Grove, PA 17362-1122. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083648067 issued?

NPI 1083648067 was first issued (enumerated) on 2006-07-10. The NPPES record was last updated on 2018-07-19.

Practice Location Map

Kennies Market Inc is located at 440 N Main St, Spring Grove, PA. Use the map below to find directions or verify the practice location.

📍 440 N Main St, Spring Grove, PA 17362-1122  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kennies Market Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083648067. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyPP415664LPA
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162