EAST BAY PHARMACY CORP NPI 1992473805

NPI Information

  • NPI: 1992473805
  • Provider Name: EAST BAY PHARMACY CORP
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 1565 N MAIN ST STE 502
    FALL RIVER, MA
    ZIP 02720
  • Phone: (508) 813-8623

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NPI Details

EAST BAY PHARMACY CORP is a long term care pharmacy pharmacy in Fall River, MA. 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. EAST BAY PHARMACY CORP NPI is 1992473805. The provider is registered as an organization entity type.

The provider's business location address is:

1565 N MAIN ST STE 502
FALL RIVER, MA
ZIP 02720-972
Phone: (508) 813-8623

The provider's authorized official is Geoffrey Peterson .
The authorized official title is President and has the following contact phone number (508) 813-8623.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 9/3/2021 and was last updated on 11/19/2021.

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
13336L0003XPharmacyLong Term Care PharmacyYes

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: 11/21/2025

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