Active NPI
Healthdirect Institutional Pharmacy Services, Inc.
- Long Term Care Pharmacy
- Rochester, NY
National Provider Identifier
1487972246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 030126
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Long Term Care Pharmacy
- Rochester, NY
- NPI 1134549603
O20140523000345
National Provider Directory
National Provider DirectoryLocations
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.