Bay Pharmacies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6547 Issued in WI

Legal business name

BAY PHARMACIES INC

Doing business as

Bayside Home Medical

Practice address

1437 Egg Harbor Rd
Sturgeon Bay, WI 54235-1239

Phone

(920) 746-2158

Fax

(920) 746-2138

NPI assigned

Feb 13, 2007

Last updated

Apr 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Hagen

Title

President / Coo

Phone

(920) 746-2158

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Bayside Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Bay Pharmacies Inc

  dba Bay Pharmacy Health Mart

  • Community/Retail Pharmacy
  • Sturgeon Bay, WI
  • NPI 1639210362

  O20100930076048

  Same enrollment

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

Tax ID family

Bay Pharmacies Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bay Pharmacies Inc

  dba Bayside Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Appleton, WI
  • NPI 1518442771
  NPD tax ID
• Bay Pharmacies Inc

  dba Bayside Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
  • NPI 1912570904
  NPD tax ID

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1275675696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351239",
            "telephone_number": "920-746-2158",
            "fax_number": "920-746-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351239",
            "telephone_number": "920-746-2158",
            "fax_number": "920-746-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT / COO",
        "authorized_official_telephone_number": "920-746-2158"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "6547",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WI",
            "license": "6547",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WI",
            "license": "6547",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WI",
            "license": "6547",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": "6547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41755000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayside Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Joseph Bastman, R.N.
• Lauren Diane Baumann, ATC
• Bay Counseling Clinic, LLP
• Bay Hometown Pharmacy LLC (Bay Hometown Pharmacy)
• Bay Hometown Pharmacy LLC (Bay Hometown Pharmacy)
• Bay Pharmacies Inc (Bay Pharmacy Health Mart)
• Baycare Clinic LLP
• Baycare Clinic LLP
• Baycare Clinic, LLP
• Baycare Clinic, LLP

• Durable Medical Equipment & Medical Supplies in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.