NPIMap

Organization Active NPI

Healthdirect Institutional Pharmacy Services, Inc.

Doing business as Healthdirect Institutional Pharmacy Services, Inc. #96

  • Long Term Care Pharmacy
  • Rochester, NY
National Provider Identifier
1134549603
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
030126 Issued in NY
Legal business name
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Doing business as
Healthdirect Institutional Pharmacy Services, Inc. #96
Practice address
250 Wallace Way
Rochester, NY 14624-6216
Phone
(585) 257-1020
Fax
(888) 260-8330
NPI assigned
Apr 23, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 030126 NY
Long Term Care Pharmacy 3336L0003X 030126 NY Primary

Addresses

Primary practice location

250 Wallace Way
Rochester, NY 14624-6216

Mailing address

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

Other names 1

  • HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #96 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140523000345 NY DME Supplier - Pharmacy 2365665130 1 other NPI on this enrollment
Practice locations: Rochester, NY
O20150924002014 NY 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: Gouverneur, NY; Marcy, NY; N Syracuse, NY; Rochester, NY

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 4

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

National Provider Directory

National Provider Directory
Tax ID family
Healthdirect 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

Locations

250 Wallace Way
Rochester, NY 14624
Phone (585) 257-1020

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": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1134549603",
    "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": "250 WALLACE WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246216",
            "telephone_number": "585-257-1020",
            "fax_number": "888-260-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-07-08",
        "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": "NY",
            "license": "030126",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "030126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #96",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.