NPIMap

Organization Active NPI

Baystate Medical Center, Inc.

Doing business as Baystate Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MA
National Provider Identifier
1629409875
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89896 Issued in MA
Legal business name
BAYSTATE MEDICAL CENTER, INC.
Doing business as
Baystate Pharmacy
Practice address
50 Wason Ave
Springfield, MA 01107-1132
Phone
(413) 794-9009
Fax
(413) 794-9013
NPI assigned
Dec 12, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Gary Kerr, PHARMD
Title
Chief Pharmacy Officer
Phone
(413) 794-3178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS89896 MA Primary

Addresses

Primary practice location

50 Wason Ave
Springfield, MA 01107-1132

Mailing address

50 Wason Ave
Springfield, MA 01107-1274
Phone (413) 794-9009

Other identifiers 2

IdentifierTypeStateIssuer
DS89896OtherMAMA DRUG STORE NUMBER
CS89896OtherMACONTROLLED SUBSTANCE REGISTRATION

Other names 1

  • BAYSTATE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baystate Medical Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629409875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WASON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071274",
            "telephone_number": "413-794-9009",
            "fax_number": "413-794-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WASON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071132",
            "telephone_number": "413-794-9009",
            "fax_number": "413-794-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "413-794-3178",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA DRUG STORE NUMBER",
            "identifier": "DS89896",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "CS89896",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSTATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.