NPIMap

Organization Active NPI

Healthdirect Institutional Pharmacy Services Inc

Doing business as Healthdirect Institutional Pharmacy Services Inc #119

  • Long Term Care Pharmacy
  • La Crosse, WI
National Provider Identifier
1184045106
Registry record updated Jan 15, 2019
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
1721 Miller St
La Crosse, WI 54601-5217
Phone
(608) 784-6500
Fax
(608) 784-6504
NPI assigned
Dec 17, 2013
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Lisa L Weir
Title
Third Party Administrator
Phone
(315) 287-3600

Specialties & licenses 1

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

Addresses

Primary practice location

1721 Miller St
La Crosse, WI 54601-5217

Mailing address

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

Other names 1

  • HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC #119 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140905001852 WI DME Supplier - Pharmacy 2365665130 Practice locations: La Crosse, WI
O20150402000180 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2365665130 3 other NPIs on this 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 Pharmacy1721 Miller St, La Crosse, WI 54601-5217(608) 784-6500 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 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

Member of 1

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

Locations

1721 Miller St
La Crosse, WI 54601
Phone (608) 784-6500

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": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1184045106",
    "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": "1721 MILLER ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015217",
            "telephone_number": "608-784-6500",
            "fax_number": "608-784-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "315-287-3600"
    },
    "taxonomies": [
        {
            "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"
        },
        {
            "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC #119",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.