NPIMap

Organization Active NPI

Healthdirect Institutional Pharmacy Services, Inc.

  • Long Term Care Pharmacy
  • Appleton, WI
National Provider Identifier
1134520596
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Practice address
3701 E Evergreen Dr
Suite 1000
Appleton, WI 54913-7402
Phone
(920) 739-5900
Fax
(920) 739-3922
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3701 E Evergreen Dr
Suite 1000
Appleton, WI 54913-7402

Mailing address

29 E Main St
Gouverneur, NY 13642-1401
Phone (315) 287-3600

Other names 1

  • Healthdirect Institutional Pharmacy Services, Inc. #122 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141125001540 WI DME Supplier - Pharmacy 2365665130 Practice locations: Appleton, WI
O20150402000180 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2365665130 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Appleton, WI; Brookfield, WI; Eau Claire, WI; La Crosse, WI

Other NPIs with the same Medicare PAC ID 20

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

View all 20

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Healthdirect Institutional Pharmacy3701 E Evergreen Dr, Appleton, WI 54913-7409(920) 739-5900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Ostomy Supplies|Tracheotomy Suppl… Accepts assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Healthdirect Intit Pharm26 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Presbyterian Village at HollidaysburgHollidaysburg, PA, CCN 395530 Skilled nursing facility Adp of the SNF Jan 1, 2025
Westminster Woods at HuntingdonHuntingdon, PA, CCN 396015 Skilled nursing facility Adp of the SNF Jan 1, 2025
Maryhill Manor IncNiagara, WI, CCN 525467 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2018
Dec 2, 2025
Presbyterian Senior LivingWaynesboro, PA, CCN 395378 Skilled nursing facility Adp of the SNF Jan 1, 2025
Oxford Manor Health CenterOxford, PA, CCN 395367 Skilled nursing facility Adp of the SNF Jan 1, 2025
Glen MeadowsGlen Arm, MD, CCN 215278 Skilled nursing facility Adp of the SNF Jan 1, 2025
Swaim Healthcare CenterNewville, PA, CCN 395375 Skilled nursing facility Adp of the SNF Jan 1, 2025
Woodside Lutheran HomeGreen Bay, WI, CCN 525557 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 29, 2017
Apr 30, 2026
Eshyft, LLCLititz, PA, CCN 395328 Skilled nursing facility Adp of the SNF Apr 1, 2019
Cross Country Healthcare StaffingPhiladelphia, PA, CCN 395467 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1134520596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 E EVERGREEN DR",
            "address_2": "SUITE 1000",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137402",
            "telephone_number": "920-739-5900",
            "fax_number": "920-739-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-12-10",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthdirect Institutional Pharmacy Services, Inc. #122",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.