Organization Active NPI

Healthdirect Institutional Pharmacy Services, Inc.

Doing business as Healthdirect Institutional Pharmacy Services, Inc. #114

  • Community/Retail Pharmacy
  • Concord, NH
National Provider Identifier
1790025989
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0792-P Issued in NH
Legal business name
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Doing business as
Healthdirect Institutional Pharmacy Services, Inc. #114
Practice address
40 Terrill Park Dr
Concord, NH 03301-7315
Phone
(855) 493-3823
Fax
(855) 493-3833
NPI assigned
Feb 25, 2013
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0792-P NH Primary

Addresses

Primary practice location

40 Terrill Park Dr
Concord, NH 03301-7315

Mailing address

40 Terrill Park Dr
Concord, NH 03301-7315
Phone (855) 493-3823

Other names 1

  • HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #114 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140523000706 NH DME Supplier - Pharmacy 2365665130 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Concord, NH

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

Locations

40 Terrill Park Dr
Concord, NH 03301
Phone (603) 229-0034

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1790025989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TERRILL PARK DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017315",
            "telephone_number": "855-493-3823",
            "fax_number": "855-493-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TERRILL PARK DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017315",
            "telephone_number": "855-493-3823",
            "fax_number": "855-493-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2014-03-13",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0792-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #114",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

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

Verify at the official NPI Registry.