Active NPI
Bay City RX LLC
Doing business as Abbey Pharmacy - Bay city
- Community/Retail Pharmacy
- Bay City, MI
National Provider Identifier
1639652415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2023
- 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
- Candice Tolf
- Title
- 3Rd Party Coordinator
- Phone
- (313) 751-7979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FSRX5865389 | Other | FLEXSCRIPT |
Other names 1
- Abbey Pharmacy - Bay city
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210510001274 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163831835 | Practice locations: Bay City, MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacy Technician
- Bay City, MI
- NPI 1023634268
-
- Pharmacist
- Bay City, MI
- NPI 1659857795
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
- Bay City Odyssey House, Inc.
- Bay City Opco LLC (Carriage House Nursing and Rehab)
- Bay City Orthopedic Surgery PC (Terrence J. Cherwin, D. O.)
- Bay City Physical Therapy Institute
- Bay City Physical Therapy Institute
- Bay City RX1 LLC (Trucare Pharmacy)
- Bay City Vascular, PC
- Bay County Child & Senior Citizen Centers, Inc
- Bay Eye Care Center, PC
- Bay Eye Care Center, PC
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.