Organization Active NPI

Bay Pharmacies Inc

  • Community/Retail Pharmacy
  • Sturgeon Bay, WI
National Provider Identifier
1639210362
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6547-042 Issued in WI
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

Updated by the provider on Jun 23, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2114324OtherPK
33127300MedicaidWI

Other names 1

  • BAY PHARMACY HEALTH MART Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930076048 WI DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 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.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.