Organization Active NPI

Bayview Plaza Pharmacy Inc

  • Pharmacy
  • Norfolk, VA
National Provider Identifier
1083691836
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AB9807009 Issued in VA
Legal business name
BAYVIEW PLAZA PHARMACY INC
Practice address
7924 Chesapeake Blvd Ste a
Norfolk, VA 23518-3801
Phone
(757) 583-7466
NPI assigned
Dec 22, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Michael Eugene Stredler, RPH
Title
President
Phone
(757) 583-7466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0201001900 VA
Pharmacy 333600000X AB9807009 VA Primary

Addresses

Primary practice location

7924 Chesapeake Blvd Ste a
Norfolk, VA 23518-3801

Mailing address

7924 Chesapeake Blvd Ste a
Norfolk, VA 23518-3801
Phone (757) 583-7466

Other identifiers 4

IdentifierTypeStateIssuer
4817409OtherVANCPDP NUMBER
009147446MedicaidVA
0201001900OtherVABOARD OF PHARMACY
008513473MedicaidVA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083691836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7924 CHESAPEAKE BLVD STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235183801",
            "telephone_number": "757-583-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 CHESAPEAKE BLVD STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235183801",
            "telephone_number": "757-583-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STREDLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-583-7466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201001900",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "AB9807009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4817409",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009147446",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "0201001900",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008513473",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.