Organization Active NPI

Healthdyne Pharmacy Co, LLC

  • Mail Order Pharmacy
  • Centennial, CO
National Provider Identifier
1700309341
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
HEALTHDYNE PHARMACY CO, LLC
Practice address
7472 S Tucson Way Ste 100-B
Centennial, CO 80112-4452
Phone
(888) 479-2000
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Phillip P. Bisesi
Title
Senior Vice President & Secretary
Phone
(863) 583-6248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

7472 S Tucson Way Ste 100-B
Centennial, CO 80112-4452

Mailing address

500 Eagles Landing Dr
Lakeland, FL 33810-2899
Phone (888) 479-2000

Other names 1

  • HealthDyne Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthdyne Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1700309341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EAGLES LANDING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102899",
            "telephone_number": "888-479-2000",
            "fax_number": "863-656-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 S TUCSON WAY STE 100-B",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124452",
            "telephone_number": "888-479-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDYNE PHARMACY CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2025-05-13",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "BISESI",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "863-583-6248"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthDyne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.