Bayside Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BAYSIDE PHARMACY LLC

Doing business as

Butterfly Pharmacy

Practice address

205 1St St S Ste 106
Winter Haven, FL 33880-3266

Phone

(863) 377-4774

Fax

(633) 774-7448

NPI assigned

May 25, 2021

Organization subpart

Yes

Parent organization

BAYSIDE PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Prof. Chiranjivi B Jannu, R.PH

Title

Pharmacy Director

Phone

(813) 395-6125

Specialties & licenses 1

Addresses

Other names 1

• BUTTERFLY PHARMACY Doing business as

Tax ID family

Bayside Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Bayside Pharmacy LLC

Other organizations with this tax ID 1

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

• Bayside Pharmacy LLC

  dba Butterfly Pharmacy

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1023599321
  NPD tax ID

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bayside Pharmacy LLC

  dba Butterfly Pharmacy

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1023599321
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnus Commedore, PHARMD

  • Pharmacist
  • Tampa, FL
  • NPI 1275933897
  NPD

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1548835242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 1ST ST S STE 106",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803266",
            "telephone_number": "863-377-4774",
            "fax_number": "633-774-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 1ST ST S STE 106",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803266",
            "telephone_number": "863-377-4774",
            "fax_number": "633-774-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYSIDE PHARMACY LLC",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "JANNU",
        "authorized_official_first_name": "CHIRANJIVI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "813-395-6125",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUTTERFLY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baycare Medical Group, Inc
• Baycare Outpatient Imaging LLC
• Baycare Urgent Care, LLC
• Baycare Urgent Care, LLC
• Bayside Pharmacy LLC (Butterfly Pharmacy)
• Jacqueline Bazemore
• Debra Dehass Beachy, FNP-BC
• Jessica Bearden, APRN
• Amy Beascoechea
• Marie Beauvil, M.D

• Long Term Care Pharmacy in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.