Organization
HEALTHDYNE SPECIALTY COLORADO, LLC
Active
Organization
HEALTHDYNE SPECIALTY COLORADO, LLC
Active
Other names
HealthDyne Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP P BISESI (SENIOR VICE PRESIDENT & SECRETARY)
(863) 583-6248
Entity
Organization
Contact information
Practice address
7472 S TUCSON WAY, STE 100A, CENTENNIAL, CO 80112-4452
(800) 641-8475
Mailing address
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PDO1680000123
CO
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
09/26/2016
Last updated
06/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up