NPIMap

Organization Active NPI

Bay Street Pharmacy Inc

  • Health Service Clinic/Center
  • Sebastian, FL
National Provider Identifier
1114723780
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BAY STREET PHARMACY INC
Practice address
7746 Bay St
Sebastian, FL 32958-3427
Phone
(772) 589-2043
Fax
(772) 388-2628
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Theresa Tolle
Title
President
Phone
(772) 589-2043

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

7746 Bay St
Sebastian, FL 32958-3427

Mailing address

7746 Bay St
Sebastian, FL 32958-3427
Phone (772) 589-2043

National Provider Directory

National Provider Directory
Tax ID family
Bay Street Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1114723780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 BAY ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-589-2043",
            "fax_number": "772-388-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 BAY ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-589-2043",
            "fax_number": "772-388-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "TOLLE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-589-2043"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.