NPIMap

Organization Active NPI

Innovative Services Inc

  • Home Infusion Therapy Pharmacy
  • Syracuse, NY
National Provider Identifier
1003862020
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
023530 Issued in NY
Legal business name
INNOVATIVE SERVICES INC
Practice address
6700 Thompson Rd
Syracuse, NY 13211-2141
Phone
(315) 437-1627
Fax
(315) 437-7931
NPI assigned
May 25, 2006
Organization subpart
Yes
Parent organization
UPSTATE NEWCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward P Kramm
Title
Chief Executive Officer
Phone
(913) 515-6719

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X 023530 NY Primary

Addresses

Primary practice location

6700 Thompson Rd
Syracuse, NY 13211-2141

Mailing address

PO Box 931769
Atlanta, GA 31193-1769
Phone (315) 437-1627

Other identifiers 4

IdentifierTypeStateIssuer
01818419MedicaidNY
023530OtherNYPHARMACY LICENSE
3336650OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0701L004OtherNYDOH LIC#

Other names 2

  • LUX Infusion 9 Doing business as
  • UPSTATE HOMECARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930001568 NY DME Supplier - Pharmacy 5092833673 Practice locations: Syracuse, NY
O20210112001686 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5092833673 Practice locations: Syracuse, NY
O20210215000954 NY Part B Supplier - Home Infusion Therapy Supplier 5092833673 2 other NPIs on this enrollment
Practice locations: Rochester, NY; Colonie, NY; Syracuse, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Innovative Service Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1185 Commerce Ave
Bronx, NY 10462
Phone (718) 512-1960

435 Lawrence Bell Dr
Ste 103
Buffalo, NY 14221

99 Powerhouse Rd
Roslyn Heights, NY 11577

6700 Thompson Rd
Syracuse, NY 13211
Phone (315) 437-1627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1003862020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931769",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931769",
            "telephone_number": "315-437-1627",
            "fax_number": "315-437-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 THOMPSON RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132112141",
            "telephone_number": "315-437-1627",
            "fax_number": "315-437-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPSTATE NEWCO LLC",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "KRAMM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "913-515-6719"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "023530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01818419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "023530",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3336650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LIC#",
            "identifier": "0701L004",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUX Infusion 9",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UPSTATE HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.