NPIMap

Organization Active NPI

Baystate Pharmacy

Doing business as Baystate Medical Center Inc

  • Community/Retail Pharmacy
  • Springfield, MA
National Provider Identifier
1245650225
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89896 Issued in MA
Legal business name
BAYSTATE PHARMACY
Doing business as
Baystate Medical Center Inc
Practice address
50 Wason Ave
Springfield, MA 01107-1132
Phone
(413) 794-9009
Fax
(413) 794-9013
NPI assigned
Apr 17, 2014
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYSTATE MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Gary James Kerr
Title
Chief Pharmacy Officer
Phone
(413) 794-3178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS89896 MA Primary

Addresses

Primary practice location

50 Wason Ave
Springfield, MA 01107-1132

Mailing address

PO Box 798
Springfield, MA 01101-0798
Phone (413) 794-9009

Other identifiers 2

IdentifierTypeStateIssuer
CS89896OtherMACONTROLLED SUBSTANCE REGISTRATION
DS89896OtherMAMA DRUG STORE NUMBER

Other names 1

  • Baystate Medical Center Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baystate Reference Lab11 organizations share this tax ID, including this one
Part of
Baystate Reference Lab

Other organizations with this tax ID 10

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": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245650225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 798",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011010798",
            "telephone_number": "413-794-9009",
            "fax_number": "413-794-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WASON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071132",
            "telephone_number": "413-794-9009",
            "fax_number": "413-794-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYSTATE MEDICAL CENTER INC",
        "enumeration_date": "2014-04-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "413-794-3178",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "CS89896",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA DRUG STORE NUMBER",
            "identifier": "DS89896",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baystate Medical Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.