OrganizationActive
Innovative Services Inc
NPI 1003862020 · Home Infusion Therapy Pharmacy · Syracuse, NY
Provider details
- NPI number
- 1003862020
- Entity type
- Organization
- Primary specialty
- Home Infusion Therapy PharmacySuppliers
- Parent organization
- Upstate Newco LLC
- Authorized official
- Edward Kramm, Chief Executive Officer
Practice location
6700 Thompson Rd
Syracuse, NY 13211-2141
Phone: (315) 437-1627
Fax: (315) 437-7931
Mailing address
Po Box 931769
Atlanta, GA 31193-1769
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.