NPIMap

Organization Active NPI

Big Y Foods Inc

Doing business as Big Y Pharmacy #13

  • Community/Retail Pharmacy
  • Longmeadow, MA
National Provider Identifier
1033208665
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIG Y FOODS INC
Doing business as
Big Y Pharmacy #13
Practice address
802 Williams St
Longmeadow, MA 01106-2054
Phone
(413) 567-0679
Fax
(413) 567-6048
NPI assigned
Oct 12, 2006
Last updated
Feb 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
George PappasNPI 1689676447
Title
Senior Manager of Pharmacy Services
Phone
(413) 504-4492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X DS3065 MA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

802 Williams St
Longmeadow, MA 01106-2054

Mailing address

802 Williams St
Longmeadow, MA 01106-2054

Other identifiers 2

IdentifierTypeStateIssuer
0401633MedicaidMA
2238687OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BIG Y PHARMACY #13 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100726000253 MA Part B Supplier - Mass Immunization (Roster Biller Only) 9335285089 20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worcester, MA; Wilbraham, MA; Walpole, MA; Springfield, MA; Spencer, MA; South Hadley, MA; Palmer, MA; Northampton, MA…
O20100930054012 MA DME Supplier - PharmacyDME Supplier - Grocery Store 9335285089 Practice locations: Longmeadow, MA

Other NPIs on the same Medicare enrollment 12

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

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Big Y Foods Inc802 Williams St, Longmeadow, MA 01106-2054(413) 567-0679 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Dec 11, 2015

National Provider Directory

National Provider Directory
Tax ID family
Big Y Foods Inc36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

802 Williams St
Longmeadow, MA 01106
Phone (413) 567-0679

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1033208665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 WILLIAMS ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 WILLIAMS ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062054",
            "telephone_number": "413-567-0679",
            "fax_number": "413-567-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG Y FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "SENIOR MANAGER OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "413-504-4492"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "DS3065",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401633",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2238687",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG Y PHARMACY #13",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.