Baylife Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH22395 Issued in FL

Legal business name

BAYLIFE PHARMACY INC

Doing business as

Bay Life Pharmacy I

Practice address

1235 S Missouri Ave
Clearwater, FL 33756-9111

Phone

(727) 581-5400

Fax

(727) 581-5411

NPI assigned

Aug 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julian Mathew

Title

Owner

Phone

(727) 254-2037

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BAY LIFE PHARMACY I Doing business as

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

• Andres Beneroso

  • Pharmacist
  • St Petersburg, FL
  • NPI 1770187437
  NPD
• Tuong Tran

  • Pharmacist
  • Clearwater, FL
  • NPI 1659945996
  NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891211256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337569111",
            "telephone_number": "727-581-5400",
            "fax_number": "727-581-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337569111",
            "telephone_number": "727-581-5400",
            "fax_number": "727-581-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLIFE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-254-2037"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH22395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004617900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY LIFE PHARMACY I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baycare Urgent Care, LLC
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• Baycare Urgent Care, LLC
• Baycare Urgent Care, LLC
• Baylife Pharmacy Inc (Bay Life Pharmacy I)
• Carlos Juan Bayron, MD
• Bayside Family Healthcare Clearwater, LLC
• Bayside Mental Health and Wellness, LLC
• Bayside Urgent Care Center Inc.
• Bayside Urology PA

• Long Term Care Pharmacy in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.