NPIMap

Organization Active NPI

Baystate Medical Center Inc

Doing business as Baystate Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MA
National Provider Identifier
1013392117
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89912 Issued in MA
Legal business name
BAYSTATE MEDICAL CENTER INC
Doing business as
Baystate Pharmacy
Practice address
759 Chestnut St
Daly 3 Pharmacy
Springfield, MA 01199-1001
Phone
(413) 794-3291
Fax
(413) 794-9377
NPI assigned
Jul 30, 2015
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Martin
Title
Chief Financial Officer
Phone
(413) 794-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS89912 MA Primary

Addresses

Primary practice location

759 Chestnut St
Daly 3 Pharmacy
Springfield, MA 01199-1001

Mailing address

759 Chestnut Street
Springfield, MA 01101
Phone (413) 794-3291

Other identifiers 1

IdentifierTypeStateIssuer
110098563/DMedicaidMA

Other names 1

  • BAYSTATE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baystate Reference Lab11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

759 Chestnut St
#3
Springfield, MA 01199
Phone (413) 784-3343

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1013392117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01101",
            "telephone_number": "413-794-3291",
            "fax_number": "413-794-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "address_2": "DALY 3 PHARMACY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-3291",
            "fax_number": "413-794-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-794-3291"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110098563/D",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSTATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.