Organization Active NPI

Bay City RX LLC

Doing business as Abbey Pharmacy - Bay city

  • Community/Retail Pharmacy
  • Bay City, MI
National Provider Identifier
1639652415
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BAY CITY RX LLC
Doing business as
Abbey Pharmacy - Bay city
Practice address
4 Columbus Ave Ste 145
Bay City, MI 48708-6457
Phone
(248) 862-6148
Fax
(734) 893-0006
NPI assigned
Sep 8, 2018
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Candice Tolf
Title
3Rd Party Coordinator
Phone
(313) 751-7979

Specialties & licenses 1

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

Addresses

Primary practice location

4 Columbus Ave Ste 145
Bay City, MI 48708-6457

Mailing address

6689 Orchard Lake Rd # 168
West Bloomfield, MI 48322-3404
Phone (248) 862-6148

Other identifiers 1

IdentifierTypeStateIssuer
FSRX5865389OtherFLEXSCRIPT

Other names 1

  • Abbey Pharmacy - Bay city Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210510001274 MI Part B Supplier - Mass Immunization (Roster Biller Only) 2163831835 Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

4 Columbus Ave
Ste 145
Bay City, MI 48708
Phone (989) 607-9007

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1639652415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ORCHARD LAKE RD # 168",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404",
            "telephone_number": "248-862-6148",
            "fax_number": "734-893-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 145",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086457",
            "telephone_number": "248-862-6148",
            "fax_number": "734-893-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-08",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "TOLF",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "3RD PARTY COORDINATOR",
        "authorized_official_telephone_number": "313-751-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLEXSCRIPT",
            "identifier": "FSRX5865389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbey Pharmacy - Bay city",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abbey Pharmacy - Bay city",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.