NPIMap

Organization Active NPI

Big Y Foods, Inc.

Doing business as Big Y Pharmacy #101

  • Community/Retail Pharmacy
  • Kingston, MA
National Provider Identifier
1922551886
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS3404 Issued in MA
Legal business name
BIG Y FOODS, INC.
Doing business as
Big Y Pharmacy #101
Practice address
182 Summer St
Kingston, MA 02364-1277
Phone
(781) 585-1326
NPI assigned
Jul 27, 2016
Last updated
Apr 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Mr. George L PappasNPI 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 DS3404 MA Primary

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 names 1

  • Big Y Pharmacy #101 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…
O20170331001548 MA DME Supplier - Pharmacy 9335285089 Practice locations: Kingston, MA

Other NPIs on the same Medicare enrollment 12

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

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 Foods Inc182 Summer St, Kingston, MA 02364-1277(781) 585-1326 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 Pharmacy 0736 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

Practitioners & affiliated clinicians

Practitioners 1

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": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1922551886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 ROOSEVELT AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041650",
            "telephone_number": "413-504-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SUMMER ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641277",
            "telephone_number": "781-585-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG Y FOODS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2017-04-06",
        "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."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Y Pharmacy #101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.