NPIMap

Organization Active NPI

Big Y Foods Inc

  • Community/Retail Pharmacy
  • Norwich, CT
National Provider Identifier
1306935937
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIG Y FOODS INC
Practice address
224 Salem Tpke
Norwich, CT 06360-6455
Phone
(860) 886-1301
Fax
(860) 886-1304
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
George Pappas
Title
Pharmacy Operations Manager
Phone
(413) 504-4492

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PCY.1975 CT
Pharmacy 333600000X PCY1975 CT
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

224 Salem Tpke
Norwich, CT 06360-6455

Mailing address

224 Salem Tpke
Norwich, CT 06360-6455

Other identifiers 2

IdentifierTypeStateIssuer
004249886MedicaidCT
0720246OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BIG Y PHARMACY #30 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091009000236 CT Part B Supplier - Mass Immunization (Roster Biller Only) 9335285089 19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Torrington, CT; Tolland, CT; Stratford, CT; Stafford Springs, CT; Old Saybrook, CT; Norwich, CT; Mansfield Center, CT; North Branford, CT…
O20100930097337 CT DME Supplier - PharmacyDME Supplier - Grocery Store 9335285089 Practice locations: Norwich, CT

Other NPIs on the same Medicare enrollment 16

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

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Big Y Foods Inc224 Salem Tpke, Norwich, CT 06360-6455(860) 886-1301 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Dec 11, 2015

National Provider Directory

National Provider Directory
Tax ID family
Big Y Foods Inc36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1306935937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SALEM TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SALEM TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606455",
            "telephone_number": "860-886-1301",
            "fax_number": "860-886-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG Y FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "413-504-4492"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "PCY.1975",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "PCY1975",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004249886",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0720246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG Y PHARMACY #30",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.