Organization Active NPI

Bayview Pharmacy Inc

Doing business as Bayview Pharmacy

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1124106638
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01845 Issued in MD
Legal business name
BAYVIEW PHARMACY INC
Doing business as
Bayview Pharmacy
Practice address
6510 Odonnell St
Baltimore, MD 21224-4643
Phone
(410) 633-5050
Fax
(410) 633-5188
NPI assigned
Nov 1, 2006
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Michael Souranis
Title
Owner
Phone
(410) 633-5050

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P01845 MD Primary

Addresses

Primary practice location

6510 Odonnell St
Baltimore, MD 21224-4643

Mailing address

6510 Odonnell St
Baltimore, MD 21224-4643
Phone (410) 633-5050

Other identifiers 3

IdentifierTypeStateIssuer
325838600MedicaidMD
2034871OtherPK
325242600MedicaidMD

Other names 1

  • BAYVIEW PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayview Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1124106638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 ODONNELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244643",
            "telephone_number": "410-633-5050",
            "fax_number": "410-633-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 ODONNELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244643",
            "telephone_number": "410-633-5050",
            "fax_number": "410-633-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "SOURANIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-633-5050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325838600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034871",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325242600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYVIEW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.