Pharmacy on Bay Street Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY ON BAY STREET INC.

Doing business as

Pharmacy on Bay Street Inc.

Practice address

1209 Bay St
Staten Island, NY 10305-3121

Phone

(347) 967-9186

NPI assigned

Oct 13, 2020

Last updated

May 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Menatalla Saad, PHARMDNPI 1992250567

Title

Supervising Pharmacist

Phone

(929) 269-7000

Specialties & licenses 1

Addresses

Other names 1

• Pharmacy on Bay Street Inc. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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.

• Menatalla Saad

  • Pharmacist
  • Staten Island, NY
  • NPI 1992250567
  NPD Authorized official
• Ahmad Maklad

  • Pharmacist
  • Brooklyn, NY
  • NPI 1225553001
  NPD
• Irene Kelada, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1568860450
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1073111951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053121",
            "telephone_number": "929-269-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053121",
            "telephone_number": "347-967-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ON BAY STREET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "MENATALLA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "929-269-7000",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baystreetrx@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1209 Bay St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103053121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pharmacy on Bay Street Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy on Bay Street Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Petti, RN
• David R. Pfaff, M.D.
• John Pfeiffer, PT
• Daniel Pfleging, L.AC
• PGKS Management Inc
• David Phelps
• Kendra S. Phelps, LMSW
• Phildov Anesthesiology Group PC
• Annamma Philip, RN
• Jocelyn Philip, PA

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.