Organization Active NPI

Healthdirect Institutional Pharmacy Services, Inc.

  • Long Term Care Pharmacy
  • Rochester, NY
National Provider Identifier
1487972246
Registry record updated Mar 6, 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.
Practice address
250 Wallace Way
Rochester, NY 14624
Phone
(585) 257-1020
Fax
(888) 260-8330
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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 030126 NY Primary

Addresses

Primary practice location

250 Wallace Way
Rochester, NY 14624

Mailing address

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

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
O20110921000274 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9830217637 This NPI is an additional NPI on the enrollment
O20140523000345 NY DME Supplier - Pharmacy 2365665130 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rochester, NY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1487972246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WALLACE WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14624",
            "telephone_number": "585-257-1020",
            "fax_number": "888-260-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WALLACE WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14624",
            "telephone_number": "585-257-1020",
            "fax_number": "888-260-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-03-06",
        "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": "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.