Organization Active NPI

Innovative Services Inc

Doing business as LUX Infusion 9

  • Home Infusion Therapy Pharmacy
  • Rochester, NY
National Provider Identifier
1992750913
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
028984 Issued in NY
Legal business name
INNOVATIVE SERVICES INC
Doing business as
LUX Infusion 9
Upstate Homecare
Practice address
200 Airpark Dr Ste 60
Rochester, NY 14624-5716
Phone
(585) 328-2050
Fax
(585) 394-2058
NPI assigned
May 24, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UPSTATE NEWCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mr. Edward P Kramm
Title
Chief Executive Officer
Phone
(913) 515-6719

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Nursing Care Agency 251J00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X 028984 NY
Home Infusion Therapy Pharmacy 3336H0001X 028984 NY Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

200 Airpark Dr Ste 60
Rochester, NY 14624-5716

Mailing address

855 SW 78TH Ave # C200
Plantation, FL 33324-3223
Phone (954) 385-7322

Other identifiers 6

IdentifierTypeStateIssuer
0701L003OtherNYDOH LICENSE
02985142MedicaidNY
3358771OtherNYNCPDP
AAHDOtherNYMCD ETIN
028984OtherNYPHARMACY LICENSE
6853OtherNYMCD PIN

Other names 2

  • LUX Infusion 9 Doing business as
  • Upstate Homecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930039124 NY DME Supplier - Pharmacy 5092833673 Practice locations: Rochester, NY
O20210215000954 NY Part B Supplier - Home Infusion Therapy Supplier 5092833673 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rochester, NY; Colonie, NY; Syracuse, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Innovative Service Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

354 Cayuga Rd
Cheektowaga, NY 14225
Phone (716) 565-2110

200 Airpark Dr
Ste 60
Rochester, NY 14624
Phone (315) 795-3518

6700 Thompson Rd
Syracuse, NY 13211
Phone (315) 437-1627

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1992750913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SW 78TH AVE # C200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243223",
            "telephone_number": "954-385-7322",
            "fax_number": "954-385-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AIRPARK DR STE 60",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245716",
            "telephone_number": "585-328-2050",
            "fax_number": "585-394-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPSTATE NEWCO LLC",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "KRAMM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "913-515-6719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "028984",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "028984",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "0701L003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02985142",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3358771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD ETIN",
            "identifier": "AAHD",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "028984",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD PIN",
            "identifier": "6853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUX Infusion 9",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upstate Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.