Baystate Medical Center Inc
Organization Active NPI Community/Retail Pharmacy · Springfield, MA
NPI 1124125547 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1124125547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- DS89912 (MA)
- Legal business name
- BAYSTATE MEDICAL CENTER INC
- Practice address
- 759 Chestnut St
Springfield, MA 01199-1001 - Phone
- (413) 794-3291
- Fax
- (413) 794-9377
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Laurie Martin
- Title
- Chief Financial Officer
- Phone
- (413) 794-3291
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Baystate Medical Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | DS89912 | MA | Yes |
Addresses
Primary practice location
759 Chestnut St
Springfield, MA 01199-1001
Mailing address
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-3291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110020829/C | Medicaid | MA | |
| 2232762 | Other | NCPDP |
Other names
- BAYSTATE PHARMACY
Other providers in Springfield, MA
- Baystate Dental Practice, LLC
- Baystate Developmental Behavioral Pediatrics
- Baystate Eye Care Optical Shoppe
- Baystate Eye Group
- Baystate Medical Center Inc
- Baystate Medical Center Inc
- Baystate Medical Center Inc
- Baystate Medical Center Inc
- Baystate Medical Center Inc
- Baystate Medical Center, Inc
All providers in Springfield, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.