NPIMap

Organization Active NPI

Healthdirect Institutional Pharmacy Services, Inc.

Doing business as Healthdirect Institutional Pharmacy Services, Inc. #69

  • Long Term Care Pharmacy
  • Williston, VT
National Provider Identifier
1508286071
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0380003336 Issued in VT
Legal business name
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Doing business as
Healthdirect Institutional Pharmacy Services, Inc. #69
Practice address
600 Blair Park Rd
Suite 195
Williston, VT 05495-7586
Phone
(800) 878-9116
Fax
(800) 861-1904
NPI assigned
Apr 23, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 0380003336 VT
Long Term Care Pharmacy 3336L0003X 0380003336 VT Primary

Addresses

Primary practice location

600 Blair Park Rd
Suite 195
Williston, VT 05495-7586

Mailing address

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

Other names 1

  • HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #69 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140711002054 VT DME Supplier - Pharmacy 2365665130 1 other NPI on this enrollment
Practice locations: Williston, VT
O20151023000155 VT Part B Supplier - Mass Immunization (Roster Biller Only) 2365665130 Practice locations: Williston, VT

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 1

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

Member of 1

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

Locations

600 Blair Park Rd
Ste 195
Williston, VT 05495
Phone (800) 861-1903

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": "1408406400000",
    "number": "1508286071",
    "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": "600 BLAIR PARK RD",
            "address_2": "SUITE 195",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "800-878-9116",
            "fax_number": "800-861-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-08-19",
        "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": "VT",
            "license": "0380003336",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VT",
            "license": "0380003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #69",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.