Healthcare Provider Details

I. General information

NPI: 1508157959
Provider Name (Legal Business Name): INNOVATIVE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 THOMPSON RD
SYRACUSE NY
13211-2141
US

IV. Provider business mailing address

PO BOX 931769
ATLANTA GA
31193-1769
US

V. Phone/Fax

Practice location:
  • Phone: 315-437-1627
  • Fax: 315-437-7931
Mailing address:
  • Phone: 315-853-1280
  • Fax: 315-853-6087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD P KRAMM
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 913-515-6719