BJ'S Wholesale Club Inc.
Organization Active NPI Eyewear Supplier · Brookfield, CT
NPI 1053919290 · NPPES record last updated Oct 10, 2020
Key facts
- NPI
- 1053919290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- BJ'S WHOLESALE CLUB INC.
- Practice address
- 106 Federal Rd
Brookfield, CT 06804-2536 - Phone
- (203) 460-5000
- NPI assigned
- Oct 10, 2020
- Organization subpart
- No
Authorized official
- Name
- Gina Bisceglia
- Title
- Legal Associate
- Phone
- (508) 688-2358
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- BJ'S Wholesale Club Inc
Locations
106 Federal Rd
Brookfield, CT 06804
Phone (203) 460-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
106 Federal Rd
Brookfield, CT 06804-2536
Mailing address
25 Research Dr
Westborough, MA 01581-3680
NPI Registry JSON
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602288000000",
"number": "1053919290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 RESEARCH DR",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015813680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FEDERAL RD",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042536",
"telephone_number": "203-460-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BJ'S WHOLESALE CLUB INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-10-10",
"status": "A",
"authorized_official_last_name": "BISCEGLIA",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "LEGAL ASSOCIATE",
"authorized_official_telephone_number": "508-688-2358"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.