Bayside RX LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BAYSIDE RX LLC

Practice address

21411 41St Ave
Flushing, NY 11361-2133

Phone

(718) 244-1400

Fax

(718) 244-1444

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Jaclyn Prisco

Title

President

Phone

(646) 806-6480

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1033573076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21411 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113612133",
            "telephone_number": "718-244-1400",
            "fax_number": "718-244-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21411 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113612133",
            "telephone_number": "718-244-1400",
            "fax_number": "718-244-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "PRISCO",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-806-6480"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Bayer, M.D.
• Sara Anabel Bayone, DPT
• Anna Victoria Andarian Bayron, PT
• Bayside Diagnostics Laboratory
• Bayside Pain & Rehabilitation Medicine, P.C.
• Bayside Scripts Corp.
• Daniel Bazarewski
• BC Pharmacy Inc
• Bcare Acupuncture PC
• Be Evergreen Medical PC

• Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.