NPIMap

Organization Active NPI

Big Y Foods, Inc

Doing business as Big Y Pharmacy #22

  • Community/Retail Pharmacy
  • Great Barrington, MA
National Provider Identifier
1730447301
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIG Y FOODS, INC
Doing business as
Big Y Pharmacy #22
Practice address
700 Main St
Suite 2
Great Barrington, MA 01230-2142
Phone
(413) 528-5460
Fax
(413) 528-5588
NPI assigned
May 2, 2012
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Mr. George L Pappas Jr.NPI 1689676447
Title
Sr Manager of Pharmacy Services
Phone
(413) 504-4492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

700 Main St
Suite 2
Great Barrington, MA 01230-2142

Mailing address

700 Main St
Suite 2
Great Barrington, MA 01230-2142
Phone (413) 528-5460

Other identifiers 1

IdentifierTypeStateIssuer
110020647VMedicaidMA

Other names 1

  • Big Y Pharmacy #22 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151028002530 MA DME Supplier - Pharmacy 9335285089 Practice locations: Great Barrington, MA
O20160126002268 MA Part B Supplier - Mass Immunization (Roster Biller Only) 9335285089 Practice locations: Great Barrington, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Big Y Pharmacy #22700 Main St, Great Barrington, MA 01230-2016(413) 528-5460 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Dec 11, 2015

National Provider Directory

National Provider Directory
Tax ID family
Big Y Foods Inc36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

700 Main St
Ste 2
Great Barrington, MA 01230
Phone (413) 528-5460

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1730447301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "address_2": "SUITE 2",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302142",
            "telephone_number": "413-528-5460",
            "fax_number": "413-528-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "address_2": "SUITE 2",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302142",
            "telephone_number": "413-528-5460",
            "fax_number": "413-528-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG Y FOODS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR MANAGER OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "413-504-4492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020647V",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Y Pharmacy #22",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.