Big Y Foods, Inc

Organization Active NPI Community/Retail Pharmacy · Lee, MA

NPI 1265716625 · NPPES record last updated Feb 22, 2016

Key facts

NPI
1265716625
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
BIG Y FOODS, INC
Practice address
10 Pleasant St
Lee, MA 01238-1317
Phone
(413) 243-1007
Fax
(413) 243-6525
NPI assigned
Oct 4, 2011
Organization subpart
No

Authorized official

Name
Mr. George L Pappas Jr.
Title
Sr Manager of Pharmacy Services
Phone
(413) 504-4492

Corporate family (same tax ID) 35

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

View all 35

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Big Y Pharmacy #37
10 Pleasant St, Lee, MA 01238-1317 · (413) 243-1007
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignment
Participating since Dec 11, 2015

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130502000254 MA DME Supplier - Pharmacy
DME Supplier - Grocery Store
9335285089 Practice locations: Lee, MA
O20160127001188 MA Part B Supplier - Mass Immunization (Roster Biller Only) 9335285089 Practice locations: Lee, MA

National Provider Directory

Tax ID family
Big Y Foods Inc (36 organizations share this tax ID)

Locations

10 Pleasant St
Lee, MA 01238
Phone (413) 243-1007

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

10 Pleasant St
Lee, MA 01238-1317

Mailing address

10 Pleasant St
Lee, MA 01238-1317
Phone (413) 243-1007

Other names

  • Big Y Pharmacy #37 Doing business as

Other providers in Lee, MA

All providers in Lee, MA · Community/Retail Pharmacy in Massachusetts

Sources for this page

Verify at the official NPI Registry.