BAY STREET PHARMACY INC NPI 1528513595

NPI Information

  • NPI: 1528513595
  • Provider Name: BAY STREET PHARMACY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: BAY STREET PHARMACY INC
  • CLIA Number: 10D0950512
  • Address: 7746 BAY ST
    SEBASTIAN, FL
    ZIP 32958
  • Phone: (772) 589-2043

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NPI Details

BAY STREET PHARMACY INC is a long term care pharmacy pharmacy in Sebastian, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BAY STREET PHARMACY INC NPI is 1528513595. The provider is registered as an organization entity type.
The provider Is Doing Business As Bay Street Pharmacy Inc.

The provider's business location address is:

7746 BAY ST
SEBASTIAN, FL
ZIP 32958-427
Phone: (772) 589-2043
Fax: (772) 388-2628

The provider's authorized official is Theresa Tolle .
The authorized official title is Pres and has the following contact phone number (772) 589-2043.

The CLIA number assigned to this NPI record is 10D0950512 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2016 and was last updated on 8/19/2016.

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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPH8549FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1105269100MEDICAIDFLORIDA
20140330001MEDICARE NSC
32163656OTHERPK
4105269103MEDICAIDFLORIDA

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: 3/30/2025

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