NPIMap

Organization Active NPI

Healthdirect Institutional Pharmacy Services Inc

  • Long Term Care Pharmacy
  • New Berlin, WI
National Provider Identifier
1619488442
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9482-42 Issued in WI
Legal business name
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC
Practice address
13700 W National Ave
New Berlin, WI 53151-9521
Phone
(262) 797-4610
Fax
(262) 797-4615
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Debra V Barber
Title
Director of PBM Relations
Phone
(315) 287-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 9482-42 WI Primary

Addresses

Primary practice location

13700 W National Ave
New Berlin, WI 53151-9521

Mailing address

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

Other names 1

  • Healthdirect Institutional Pharmacy Services, Inc. #118 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthdirect Intit Pharm26 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

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1619488442",
    "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": "13700 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531519521",
            "telephone_number": "262-797-4610",
            "fax_number": "262-797-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR OF PBM RELATIONS",
        "authorized_official_telephone_number": "315-287-3600"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9482-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthdirect Institutional Pharmacy Services, Inc. #118",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.