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BAYSIDE RX LLC NPI 1558725853


NPI Information

NPI: 1558725853
Provider Name: BAYSIDE RX LLC
Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
21411 41ST AVE
BAYSIDE, NY
ZIP 11361
Phone: (347) 749-8544
Get Directions

BAYSIDE RX LLC is a managed care organization pharmacy pharmacy in Bayside, NY. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. BAYSIDE RX LLC NPI is 1558725853. The provider is registered as an organization entity type.

The provider's business location address is:

21411 41ST AVE
BAYSIDE, NY
ZIP 11361-133
Phone: (347) 749-8544
Fax: (718) 522-2388

The provider's authorized official is Jaclyn Prisco .
The authorized official title is President and has the following contact phone number (347) 749-8544.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.


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
13336M0003XPharmacyManaged Care Organization PharmacyNEW YORKYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.