NPIMap

Organization Active NPI

Big Y Foods Inc

  • Community/Retail Pharmacy
  • Ludlow, MA
National Provider Identifier
1851480487
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIG Y FOODS INC
Practice address
425 Center St
Ludlow, MA 01056-2769
Phone
(413) 583-7910
Fax
(413) 583-7981
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
George Pappas
Title
Pharmacy Operations Manager
Phone
(413) 504-4492

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X DS3077 MA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

425 Center St
Ludlow, MA 01056-2769

Mailing address

425 Center St
Ludlow, MA 01056-2769

Other identifiers 2

IdentifierTypeStateIssuer
2238764OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0401846MedicaidMA

Other names 1

  • BIG Y PHARMACY #19 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100726000253 MA Part B Supplier - Mass Immunization (Roster Biller Only) 9335285089 20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worcester, MA; Wilbraham, MA; Walpole, MA; Springfield, MA; Spencer, MA; South Hadley, MA; Palmer, MA; Northampton, MA…
O20100930079154 MA DME Supplier - PharmacyDME Supplier - Grocery Store 9335285089 Practice locations: Ludlow, MA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

425 Center St
Ludlow, MA 01056
Phone (413) 583-7910

425 Center St
Bldg 3
Ludlow, MA 01056

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1851480487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562769",
            "telephone_number": "413-583-7910",
            "fax_number": "413-583-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG Y FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "413-504-4492"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "DS3077",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2238764",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401846",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG Y PHARMACY #19",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.