NPIMap

Organization Active NPI

Healthdirect Institutional Pharmacy Services, Inc.

Doing business as Healthdirect Institutional Pharmacy Services, Inc. #136

  • Long Term Care Pharmacy
  • Mohnton, PA
National Provider Identifier
1972082022
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Doing business as
Healthdirect Institutional Pharmacy Services, Inc. #136
Practice address
360 E Wyomissing Ave Ste H
Mohnton, PA 19540-1523
Phone
(610) 743-3132
Fax
(610) 741-6348
NPI assigned
Aug 9, 2018
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Stacey Kruth
Title
VP Finance
Phone
(315) 778-7651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

360 E Wyomissing Ave Ste H
Mohnton, PA 19540-1523

Mailing address

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

Other names 1

  • Healthdirect Institutional Pharmacy Services, Inc. #136 Doing business as

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

Locations

360 E Wyomissing Ave
Ste H
Mohnton, PA 19540
Phone (610) 743-3132

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1972082022",
    "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": "360 E WYOMISSING AVE STE H",
            "city": "MOHNTON",
            "state": "PA",
            "postal_code": "195401523",
            "telephone_number": "610-743-3132",
            "fax_number": "610-741-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "KRUTH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "315-778-7651"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthdirect Institutional Pharmacy Services, Inc. #136",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mohnton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.