Big Y Foods Inc
Organization Active NPI Community/Retail Pharmacy · Palmer, MA
NPI 1295824829 · NPPES record last updated Jan 31, 2008
Key facts
- NPI
- 1295824829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BIG Y FOODS INC
- Practice address
- 1180 Thorndike St
Palmer, MA 01069-1511 - Phone
- (413) 283-4827
- Fax
- (413) 283-4970
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- George Pappas
- Title
- Pharmacy Operations Manager
- Phone
- (413) 504-4492
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 35
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Big Y Pharmacy #20 |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100726000253 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335285089 |
20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Worcester, MA; Wilbraham, MA; Walpole, MA; Springfield, MA; Spencer, MA; South Hadley, MA; Palmer, MA; Northampton, MA… |
| O20100930010746 | MA | DME Supplier - Pharmacy |
9335285089 | Practice locations: Palmer, MA |
National Provider Directory
- Tax ID family
- Big Y Foods Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | DS3390 | MA | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1180 Thorndike St
Palmer, MA 01069-1511
Mailing address
1180 Thorndike St
Palmer, MA 01069-1511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2240985 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0404918 | Medicaid | MA |
Other names
- BIG Y PHARMACY #20
Other providers in Palmer, MA
- Baystate Wing Hospital Corporation
- Kyrsten Belini
- Katherine Beliveau
- Jane Marie Bellerose
- Anthony Benincaso
- Gabriella Bilyeu
- Bio-Medical Applications of Massachusetts, Inc.
- Edward James Bird
- Kelly Blaney
- Bloom Mental Health and Wellness LLC
All providers in Palmer, 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 Jan 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.