Active NPI
Bay Pharmacies Inc
Doing business as Bayside Home Medical
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
National Provider Identifier
1912570904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BAY PHARMACIES INC
- Doing business as
- Bayside Home Medical
- Practice address
- 2476 S Oneida St Ste 120
Green Bay, WI 54304-5288 - Phone
- (920) 965-8303
- NPI assigned
- Jul 19, 2021
- Organization subpart
- Yes
- Parent organization
- BAY PHARMACIES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rae Ann Josephine Gosser
- Title
- Billing Coordinator
- Phone
- (920) 473-4733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2476 S Oneida St Ste 120
Green Bay, WI 54304-5288
Mailing address
1437 Egg Harbor Rd
Sturgeon Bay, WI 54235-1239
Phone (920) 746-2158
Other names 1
- Bayside Home Medical
National Provider Directory
National Provider Directory- Tax ID family
- Bay Pharmacies Inc
- Part of
- Bay Pharmacies Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bayside Home Medical
- Durable Medical Equipment & Medical Supplies
- Sturgeon Bay, WI
- NPI 1275675696
-
dba Bayside Home Medical
- Durable Medical Equipment & Medical Supplies
- Appleton, WI
- NPI 1518442771
Locations
1437 Egg Harbor Rd
Sturgeon Bay, WI 54235
Phone (920) 746-2158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626652800000",
"number": "1912570904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 EGG HARBOR RD",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351239",
"telephone_number": "920-746-2158",
"fax_number": "920-746-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2476 S ONEIDA ST STE 120",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045288",
"telephone_number": "920-965-8303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY PHARMACIES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAY PHARMACIES INC",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A",
"authorized_official_last_name": "GOSSER",
"authorized_official_first_name": "RAE ANN",
"authorized_official_middle_name": "JOSEPHINE",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "920-473-4733"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bayside Home Medical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.