INNOVATIVE SERVICES INC NPI 1003862020

NPI Information

NPI: 1003862020
Provider Name: INNOVATIVE SERVICES INC

Doing Business As: UPSTATE HOMECARE

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
6700 THOMPSON RD
SYRACUSE, NY
ZIP 13211
Phone: (315) 437-1627
Get Directions

INNOVATIVE SERVICES INC is a home infusion therapy pharmacy pharmacy in Syracuse, NY. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. INNOVATIVE SERVICES INC NPI is 1003862020. The provider is registered as an organization entity type.
The provider Is Doing Business As Upstate Homecare.

The provider's business location address is:

6700 THOMPSON RD
SYRACUSE, NY
ZIP 13211-141
Phone: (315) 437-1627
Fax: (315) 437-7931

The provider's authorized official is Alyce Marie Crossman .
The authorized official title is Vp, Cio and has the following contact phone number (315) 853-1280.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			No
3	333600000X	Pharmacy				No
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	023530	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0701L004	OTHER	NEW YORK	DOH LIC#
2	3336650	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
3	23530	OTHER	NEW YORK	PHARM LIC#
4	6853	OTHER	NEW YORK	MCD PIN
5	01818419	MEDICAID	NEW YORK
6	TRM	OTHER	NEW YORK	MCD ETIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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