What Enexia Pharmacy Group does

Enexia Pharmacy Group is a privately held, multi-site pharmacy operator founded in 2002 and headquartered in Staten Island, New York, with 51-100 employees and five pharmacy locations spanning the New York metro area (Staten Island, Brooklyn, Manhattan) and Ohio. The company operates under multiple DBAs - Enexia Specialty, Enexia LTC Pharmacy, Vitacare Longterm Care Pharmacy, and Nate's Specialty Pharmacy - to serve distinct clinical channels. Its core offerings include specialty pharmacy, sterile and non-sterile compounding, nutritional support, hospice pharmacy, and long-term care pharmacy services.

The company's technical and clinical footprint centers on a USP 797/800 compliant sterile compounding laboratory, multi-dose blister packaging for medication adherence in institutional settings, and a proprietary LTC Web Portal that streamlines ordering and refills for long-term care facility clients. It holds NABP, ACHC Gold Seal, LegitScript, and Compounding Pharmacy accreditations, and has extended into niche clinical lines including pediatric atropine eye drops for myopia management and pet compounding. Revenue is generated through prescription dispensing reimbursed primarily via insurance and PBM channels, with additional cash-pay compounding and nutritional product sales. Leadership is led by CEO Boris Natenzon, COO Bernard Glezerman, Director of Clinical/Pharmacy Operations Yakov Ratner, and Director of Business Development Nadine Esposito.

Enexia's business model is institutional-anchored rather than consumer-direct: long-term care and hospice facilities represent the primary recurring-revenue channels, supplemented by specialty prescription fulfillment and retail walk-in volume at its five storefronts. The recent Ohio entry, hospice vertical launch, and addition of pediatric ophthalmology and veterinary compounding lines indicate a deliberate strategy of layering adjacent clinical services onto the core compounding and LTC dispensing platform. The company's competitive position rests on regulatory accreditations, multi-site geographic density, and embedded facility workflows rather than on technology differentiation or scale economics relative to national pharmacy benefit managers.

Name

Enexia Pharmacy Group

Legal name

Enexia Pharmacy Group

Website

https://enexiaspecialty.com

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

51–100 employees

Short description

Enexia Pharmacy Group is a multi-site specialty and long-term care pharmacy operator founded in 2002, serving nursing homes, hospice agencies, and specialty patients across five locations in New York and Ohio with sterile compounding and clinical pharmacy services.

Ownership category

akta.pro rank

Product category

Specialty Pharmacy Services

NAICS

Pharmacies and Drug Retailers (45611), Ambulatory Health Care Services (621), Pharmacies and Drug Retailers (456110)

SIC

Retail-Drug Stores And Proprietary Stores (5912), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Specialty Pharmacies (Complex/High-Cost Therapies) (HLAFALAC)

akta.pro secondary industries

Long-Term Care (LTC) & Skilled Nursing Facility Pharmacies (HLAFALAF), Infusion & Home Infusion Pharmacy Services (HLAFALAG), Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)

Keywords

• Specialty pharmacy services
• Compounding medications
• Long-term care pharmacy
• Hospice pharmacy services
• Sterile infusion services

Headquarters

HQ city

Staten Island

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Prescription Dispensing: Dispensing prescription medications to patients including specialty medications, hospice medications, and long-term care medications
2. Compounding Pharmacy Services: Creating customized medications tailored for patients with allergies, swallowing difficulties, or specific dosage needs
3. Infusion Services: Providing IV medications, infusion therapies, and sterile compounding services for hospice and palliative care patients
4. Long-Term Care Pharmacy Services: Medication management, blister packaging, and delivery services for long-term care facilities and assisted living centers
5. Nutritional Support Services: Dispensing medications, supplements, and feeding supplies for patients requiring nutritional support
6. Medical Supplies and OTC Products: Over-the-counter products and surgical supplies including canes, wheelchairs, braces, and incontinence supplies

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

Enexia Pharmacy Group operates five specialty pharmacy locations across the New York Metropolitan Area and Ohio, dispensing prescription medications and providing compounding, long-term care, hospice, nutritional support, and sterile infusion services to healthcare facilities and individual patients. Core services include customized medication formulations, multi-dose blister packaging, IV infusion therapies for palliative care, and same-day home delivery.

Product overview

Enexia Pharmacy Group is a multi-location pharmacy network operating since 2002 with 5 pharmacy locations serving the New York Metropolitan Area (Staten Island, Brooklyn, Manhattan) and additional locations in Ohio. The company offers a unified portfolio of specialized pharmacy services built around four core divisions: Enexia Specialty Pharmacy (main brand), Compounding Pharmacy (custom medications including pediatric, veterinary, and specialty formulations), Nutritional Support (supplements and specialized nutrition including KetoVie), and Enexia LTC Pharmacy (long-term care with multi-dose blister packaging). Supporting services include Hospice Pharmacy Services (palliative care, custom formularies, IV infusion), State-of-the-Art Infusion Services (USP 797/800 compliant sterile compounding), and the Enexia LTC Web Portal for facility management. The product ecosystem integrates specialized medication preparation, patient monitoring, third-party billing, and coordinated delivery to serve healthcare facilities, hospice providers, and individual patients across multiple states.

Differentiator

Problem solved

Functional benefit

Brands

• Multi-Dose Blister Packaging: Unique blister packaging service for EZ medication management with medications synced up and refilled monthly

Products and services

• Enexia Specialty Pharmacy Main specialty pharmacy brand providing specialized pharmacy services to healthcare workers, hospice providers, and healthcare facilities across the New York Metropolitan Area with 5 pharmacy locations. Offers prescription dispensing, specialty medications, and customer services for patients of all ages including pediatrics, hospice care, and long-term care.
• Compounding Pharmacy Customized medication creation service that tailors medications for patients with allergies, swallowing difficulties, or needing unavailable dosages. Offers transdermal gels, creams, troches, capsules, suppositories, pediatric myopia atropine eye drops (0.025%, 0.01%, 0.02%, 0.05%), and pet medications in flavored forms.
• Nutritional Support Personalized nutritional care department that dispenses medications, supplements, feeding supplies, and products like KetoVie, while facilitating communication between healthcare providers and patients requiring specialized nutrition.
• Enexia LTC Pharmacy Long-term care pharmacy division providing medication management for care facilities with multi-dose blister packaging, same-day delivery, surgical supplies, and incontinence products, with after-hours RPH support for emergencies.
• Hospice Pharmacy Services Comprehensive hospice and palliative care pharmacy services including custom formularies, compounding, 3rd party billing, IV medications, patient monitoring, custom comfort kits, and CMS reporting and audits across New York and multiple states.
• Multi-Dose Blister Packaging Unique blister packaging service that syncs medications monthly with numbered doses for easy administration at the correct time, featuring FREE delivery to long-term care facilities and individual patients.
• Sterile Infusion Services USP 797/800 compliant sterile compounding laboratory providing infusion options including PCA, intravenous antibiotics, inotropes, hydration, and sedation using CADD-Solis VIP pumps for hospice and palliative care patients.
• KetoVie KetoVie nutritional product offered through the nutritional support department for patients requiring specialized medical nutrition, including ketogenic diet therapies.
• Pet Medication Compounding Veterinary medication compounding service providing medications in various forms (chewables, capsules, eye/ear preparations, injections, suspensions) with pet-friendly flavors including tuna, shrimp, chicken, beef, peanut butter, and fruit flavors.
• Enexia LTC Web Portal Web-based portal for long-term care facilities to manage pharmacy services, access patient information, and coordinate medication delivery with Enexia LTC Pharmacy.

Quantifiable outcome

• Same-day delivery for medications
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Avita Pharmacy: Avita is a specialty pharmacy focused on HIV, HCV, LGBTQ+, and behavioral health that also serves long-term care and community health centers. Like Enexia, Avita operates as a multi-site specialty/LTC hybrid, runs sterile compounding, and supports facility-based infusion and adherence packaging — making it the closest direct peer on service mix and customer profile.
• Curexa Specialty Pharmacy: Curexa is a regional specialty and compounding pharmacy serving complex patient populations with USP 797/800 sterile compounding and adherence support. Its mix of specialty dispensing, sterile compounding, and customized patient packaging is highly comparable to Enexia's specialty + compounding division.
• OnePoint Patient Care: OnePoint is one of the largest dedicated hospice pharmacy providers in the US, with local same-day delivery and clinical support to hospice agencies. It is a direct competitor to Enexia's hospice pharmacy division on formulary, infusion, and after-hours service to hospice providers.
• Genoa Healthcare: Genoa operates embedded specialty pharmacies inside behavioral health clinics and group homes, with strong capabilities in long-term care and complex medication management. Like Enexia, Genoa blends specialty pharmacy with LTC/assisted-living service delivery and emphasizes on-site pharmacist access, making it a strong peer on institutional specialty pharmacy.
• PharmScript: PharmScript is a long-term care pharmacy serving skilled nursing and assisted-living facilities with multi-dose packaging, consulting pharmacist services, and electronic ordering. It competes head-to-head with Enexia LTC for facility contracts in overlapping geographies and on the same value proposition (packaging + delivery + 24/7 RPh support).
• ExactCare Pharmacy: ExactCare is a national LTC and at-home pharmacy that specializes in multi-dose adherence packaging, cycle-fill, and home delivery for complex patients. Its adherence-packaging model and LTC facility partnerships directly mirror Enexia LTC's blister-pack offering, making it a core comparable on long-term care services.

Broad incumbents

• CVS Specialty (CVS Health / Caremark): CVS Specialty, embedded within CVS Health and Caremark, is a leading national specialty pharmacy serving complex therapy patients with hub services and adherence support. It competes with Enexia Specialty on formulary access and payer contracts as a broad incumbent rather than a niche operator.
• Walgreens Specialty Pharmacy (Walgreens / VillageMD): Walgreens operates one of the largest US specialty and LTC pharmacy networks through Walgreens Specialty and PharMerica. It offers overlapping capabilities (specialty infusion, blister packaging, facility delivery) but as part of a much broader national retail and PBM-adjacent portfolio, making it the dominant broad incumbent peer.

Regional players

• Flagship Pharmacy / Diamond Pharmacy Services: Flagship and Diamond are mid-size regional LTC and compounding pharmacies serving assisted-living and skilled-nursing facilities in defined US regions with adherence packaging and delivery. They are comparable to Enexia on service mix and mid-market scale, though their geographies do not directly overlap with Enexia's NY/OH core.

Emerging players

• BioPlus Specialty Pharmacy: BioPlus is a specialty pharmacy focused on complex and high-cost therapies (oncology, HCV, HIV, autoimmune) with manufacturer hub services. It overlaps with Enexia Specialty on complex therapy management and serves a similar prescriber base, though at a larger scale and broader geographic footprint.

Market position

Strengths2 records

Weaknesses5 records

Competitive moat4 records

Key risks1 record

Key highlights6 records

Customer concentration

• Xx.com/Enexiagroup
• Facebookfacebook.com/enexiaspecialty
• LinkedInlinkedin.com/company/enexia-pharmacy-group

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Enexia Pharmacy Group