New Patients

Join Kelly's Pharmacy by transferring your existing prescriptions to us!

Use our convenient online form below to request a transfer of your prescription and medication information from your previous pharmacy to your favorite Kelly's Pharmacy location. Simply fill in your details below, and our team will do the rest.

Please note, your safety is our number one priority. We will let you know if we need any further details.

Patient Details:

We will need to confirm these details and your identity with your old pharmacy.

First Name

Last Name

Primary Phone Number

Email Address

Date of Birth

Preferred Notification Preference:

How would you like to be notified when prescription(s) are ready? By text message, phone call, or email ?

Text Message

Phone Call

Email

No Notification

Preferred Kelly's Pharmacy Location:

Select which of our 3 Kelly's Pharmacy locations you'd like to use.

Kelly's Pharmacy - Delmar

343 Delaware Ave, Delmar, NY 12054

Kelly's Pharmacy - Greenville

4852 Rt 81, Greenville, NY 12083

Kelly's Pharmacy - West Coxsackie

34 Hope Plaza, West Coxsackie, NY 12192

Previous Pharmacy Information:

We will contact your original pharmacy to transfer your prescriptions.

Previous Pharmacy Name

Previous Pharmacy Phone Number

Prescription Details:

Please enter the name of any medication(s) you would like transferred. If you know the prescribing doctor, please leave that information too.

Verify your insurance here or in the pharmacy when you collect your medication.

By checking this box, I give my informed consent to the collection, storage, and processing of my personal and health data as described in the Privacy Policy & Notice of Privacy Practices. I understand that I can withdraw my consent at any time.

See the links in our website footer at the bottom of this page for further information.

Please correct the errors above and try again.

Kelly's Pharmacy Inc.

Kelly's Pharmacy is a full-service independent pharmacy in Greenville, West Coxsackie, and Delmar NY providing a wide variety of services including conventional prescription filling, home medical equipment, and compounding.