Big Y Foods, Inc.
Organization Active NPI Community/Retail Pharmacy · Kingston, MA
NPI 1922551886 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1922551886
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- DS3404 (MA)
- Legal business name
- BIG Y FOODS, INC.
- Practice address
- 182 Summer St
Kingston, MA 02364-1277 - Phone
- (781) 585-1326
- NPI assigned
- Jul 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. George L Pappas
- Title
- Sr Manager of Pharmacy Services
- Phone
- (413) 504-4492
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 35
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Big Y Foods Inc |
Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20170331001548 | MA | DME Supplier - Pharmacy | 9335285089 | Practice locations: Kingston, MA |
National Provider Directory
- Tax ID family
- Big Y Foods Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | DS3404 | MA | Yes |
Addresses
Primary practice location
182 Summer St
Kingston, MA 02364-1277
Mailing address
2145 Roosevelt Ave
Springfield, MA 01104-1650
Phone (413) 504-4492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110020647Y | Medicaid | MA |
Other names
- Big Y Pharmacy #101
Other providers in Kingston, MA
- Danielle Bayer
- Bayside Counseling and Consulting
- Elizabeth M Belcher
- Steven Berman
- Jason George Bertrand
- Glen Martin Birch
- Kathryn Bliss
- Lainie Allison Block
- Charlene Marie Bonner
- William Charles Boyle
All providers in Kingston, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.