NPIMap

Big Y Foods, Inc.

Organization Active NPI Community/Retail Pharmacy · Danielson, CT

NPI 1003036385 · NPPES record last updated Dec 15, 2015

Key facts

NPI
1003036385
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PCY.1288 (CT)
Legal business name
BIG Y FOODS, INC.
Practice address
70 Wauregan Rd
Danielson, CT 06239-3712
Phone
(860) 774-7437
Fax
(860) 774-0391
NPI assigned
Apr 27, 2007
Organization subpart
No

Authorized official

Name
Mr. Michael S Gold
Title
VP, Assistant Secretary
Phone
(413) 504-4492

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Big Y Foods Inc
70 Wauregan Rd, Danielson, CT 06239-3712 · (860) 774-7437		 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignment
Participating since Dec 11, 2015

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091009000236 CT Part B Supplier - Mass Immunization (Roster Biller Only) 9335285089 19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Torrington, CT; Tolland, CT; Stratford, CT; Stafford Springs, CT; Old Saybrook, CT; Norwich, CT; Mansfield Center, CT; North Branford, CT…
O20100930062398 CT DME Supplier - Pharmacy
DME Supplier - Grocery Store		 9335285089 Practice locations: Danielson, CT

National Provider Directory

Tax ID family
Big Y Foods Inc (36 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PCY.1288 CT
Community/Retail Pharmacy 3336C0003X PCY.1288 CT Yes

Addresses

Primary practice location

70 Wauregan Rd
Danielson, CT 06239-3712

Mailing address

2145 Roosevelt Ave
Springfield, MA 01104-1650
Phone (413) 504-4490

Other identifiers

IdentifierTypeStateIssuer
004268422MedicaidCT
PCY.1288OtherCTSTATE OF CT BOARD OF PHAR

Other names

  • Big Y Pharmacy #31 Doing business as

Other providers in Danielson, CT

All providers in Danielson, CT · Community/Retail Pharmacy in Connecticut

Sources for this page

Verify at the official NPI Registry.