Organization Active NPI

Healthdyne Pharmacy Co, LLC

Doing business as HealthDyne Pharmacy

  • Pharmacy
  • Centennial, CO
National Provider Identifier
1740363274
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
370000050 Issued in CO
Legal business name
HEALTHDYNE PHARMACY CO, LLC
Doing business as
HealthDyne Pharmacy
Practice address
7472 S Tucson Way
Centennial, CO 80112-4452
Phone
(888) 479-2000
NPI assigned
Oct 20, 2006
Last updated
May 13, 2025By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 370000050 CO Primary

Addresses

Primary practice location

7472 S Tucson Way
Centennial, CO 80112-4452

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0614708OtherNCPDP
02459329MedicaidCO

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.

Member of 1

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

Locations

7472 S Tucson Way
Centennial, CO 80112
Phone (800) 438-4301

7472 S Tucson Way
Ste 100A
Centennial, CO 80112
Phone (800) 641-8475

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1740363274",
    "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": "863-686-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 S TUCSON WAY",
            "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": "2006-10-20",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "370000050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0614708",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459329",
            "state": "CO"
        }
    ],
    "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.