NPIMap

Organization Active NPI

Big Y Foods Inc

  • Community/Retail Pharmacy
  • Ellington, CT
National Provider Identifier
1124117759
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY2041 Issued in CT
Legal business name
BIG Y FOODS INC
Practice address
135 West Rd
Ellington, CT 06029-3719
Phone
(860) 896-0264
Fax
(860) 896-0457
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
George Pappas, RPH
Title
Pharmacy Operations Manager
Phone
(413) 504-4492

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PCY2041 CT Primary

Addresses

Primary practice location

135 West Rd
Ellington, CT 06029-3719

Mailing address

PO Box 4541
Springfield, MA 01101-4541

Other identifiers 1

IdentifierTypeStateIssuer
0720587OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BIG Y PHARMACY #73 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091009000236 CT Part B Supplier - Mass Immunization (Roster Biller Only) 9335285089 19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Torrington, CT; Tolland, CT; Stratford, CT; Stafford Springs, CT; Old Saybrook, CT; Norwich, CT; Mansfield Center, CT; North Branford, CT…
O20100930098450 CT DME Supplier - Pharmacy 9335285089 Practice locations: Ellington, CT

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Big Y Pharmacy # 73135 West Rd, Ellington, CT 06029-3719(860) 896-0264 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Dec 11, 2015

National Provider Directory

National Provider Directory
Tax ID family
Big Y Foods Inc36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1124117759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4541",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011014541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEST RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293719",
            "telephone_number": "860-896-0264",
            "fax_number": "860-896-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG Y FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "413-504-4492",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0720587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG Y PHARMACY #73",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.