Organization Active NPI

San Remo Pharmacy Inc

Doing business as Bay pharmacy

  • Community/Retail Pharmacy
  • Bay Shore, NY
National Provider Identifier
1568820025
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034249 Issued in NY
Legal business name
SAN REMO PHARMACY INC
Doing business as
Bay pharmacy
Practice address
603 E Main St Unit C
Bay Shore, NY 11706-8505
Phone
(631) 665-2229
Fax
(631) 665-7229
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Benny MangalathNPI 1013231281
Title
President,Ao
Phone
(631) 665-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034249 NY Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

603 E Main St Unit C
Bay Shore, NY 11706-8505

Mailing address

603 E Main St Unit C
Bay Shore, NY 11706-8505
Phone (631) 665-2229

Other identifiers 1

IdentifierTypeStateIssuer
2157731OtherPK

Other names 1

  • Bay pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

603 E Main St
Unit C
Bay Shore, NY 11706
Phone (631) 665-2229

Practitioners & affiliated clinicians

Practitioners 1

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": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1568820025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST UNIT C",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068505",
            "telephone_number": "631-665-2229",
            "fax_number": "631-665-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST UNIT C",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068505",
            "telephone_number": "631-665-2229",
            "fax_number": "631-665-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN REMO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MANGALATH",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "PRESIDENT,AO",
        "authorized_official_telephone_number": "631-665-2229"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034249",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

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