NPIMap

Organization Active NPI

Healthdirect Institutional Pharmacy Services, Inc.

Doing business as Healthdirect Institutional Pharmacy Services, Inc. #119

  • Long Term Care Pharmacy
  • Gouverneur, NY
National Provider Identifier
1033539507
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9238-42 Issued in WI
Legal business name
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Doing business as
Healthdirect Institutional Pharmacy Services, Inc. #119
Practice address
29 E Main St
Gouverneur, NY 13642-1401
Phone
(315) 287-3600
Fax
(315) 287-4291
NPI assigned
Apr 23, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Debbi Barber
Title
Director of PBM Relations
Phone
(315) 287-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9238-42 WI
Long Term Care Pharmacy 3336L0003X 9238-42 WI Primary

Addresses

Primary practice location

29 E Main St
Gouverneur, NY 13642-1401

Mailing address

2840 21St PL S
La Crosse, WI 54601-7302
Phone (608) 784-6500

Other names 1

  • HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #119 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Direct Institutional26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1033539507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 21ST PL S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017302",
            "telephone_number": "608-784-6500",
            "fax_number": "608-784-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421401",
            "telephone_number": "315-287-3600",
            "fax_number": "315-287-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "DIRECTOR OF PBM RELATIONS",
        "authorized_official_telephone_number": "315-287-3600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9238-42",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9238-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #119",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gouverneur, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.