Organization Active NPI

Bayside Drugs Inc

  • Community/Retail Pharmacy
  • Bayside, NY
National Provider Identifier
1104452861
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BAYSIDE DRUGS INC
Practice address
3801 Bell Blvd
Bayside, NY 11361-2058
Phone
(718) 224-7300
Fax
(718) 224-7306
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Nison Abdurakhmanov
Title
President
Phone
(718) 224-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3801 Bell Blvd
Bayside, NY 11361-2058

Mailing address

3801 Bell Blvd
Bayside, NY 11361-2058
Phone (718) 224-7300

Other names 1

  • STERLING PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504000886 NY Part B Supplier - Pharmacy 9234540832 Practice locations: Bayside, NY

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1104452861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612058",
            "telephone_number": "718-224-7300",
            "fax_number": "718-224-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612058",
            "telephone_number": "718-224-7300",
            "fax_number": "718-224-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "ABDURAKHMANOV",
        "authorized_official_first_name": "NISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-224-7300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.