Active NPI
Bay Pharmacies Inc
- Community/Retail Pharmacy
- Sturgeon Bay, WI
National Provider Identifier
1639210362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6547-042
- Legal business name
- BAY PHARMACIES INC
- Practice address
- 1300 Egg Harbor Rd
Sturgeon Bay, WI 54235-1277 - Phone
- (920) 746-2977
- Fax
- (920) 746-2968
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanapong Chairin, RPH
- Title
- Sec/Treas
- Phone
- (920) 746-2977
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 6547-042 | WI | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1300 Egg Harbor Rd
Sturgeon Bay, WI 54235-1277
Mailing address
1300 Egg Harbor Rd
Sturgeon Bay, WI 54235-1277
Phone (920) 746-2977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2114324 | Other | PK | |
| 33127300 | Medicaid | WI |
Other names 1
- BAY PHARMACY HEALTH MART
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076048 | WI | DME Supplier - Medical Supply Company With Respiratory Therapist | 2163549304 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sturgeon Bay, WI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Sturgeon Bay, WI
- NPI 1275675696
O20100930076048
National Provider Directory
National Provider DirectoryLocations
1300 Egg Harbor Rd
Ste 112
Sturgeon Bay, WI 54235
Phone (920) 746-2977
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sturgeon Bay, WI
- NPI 1215196969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403481600000",
"number": "1639210362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 EGG HARBOR RD",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351277",
"telephone_number": "920-746-2977",
"fax_number": "920-746-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 EGG HARBOR RD",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351277",
"telephone_number": "920-746-2977",
"fax_number": "920-746-2968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY PHARMACIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2014-06-23",
"status": "A",
"authorized_official_last_name": "CHAIRIN",
"authorized_official_first_name": "TANAPONG",
"authorized_official_title_or_position": "SEC/TREAS",
"authorized_official_telephone_number": "920-746-2977",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "6547-042",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2114324",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33127300",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAY PHARMACY HEALTH MART",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.