NPIMap

Organization Active NPI

BBMJ Inc

Doing business as Sag Harbor Pharmacy

  • Community/Retail Pharmacy
  • Sag Harbor, NY
National Provider Identifier
1962417584
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024893 Issued in NY
Legal business name
BBMJ INC
Doing business as
Sag Harbor Pharmacy
Practice address
120 Main St
Sag Harbor, NY 11963-3007
Phone
(631) 725-0074
Fax
(631) 725-8672
NPI assigned
Jul 30, 2006
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Barry MarcusNPI 1487978433
Title
President
Phone
(621) 725-0074

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 024893 NY Primary

Addresses

Primary practice location

120 Main St
Sag Harbor, NY 11963-3007

Mailing address

PO Box 1050
Sag Harbor, NY 11963-0033
Phone (631) 725-0074

Other identifiers 2

IdentifierTypeStateIssuer
2063885OtherPK
02092060MedicaidNY

Other names 1

  • SAG HARBOR PHARMACY Doing business as

National Provider Directory

National Provider Directory

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1962417584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119630033",
            "telephone_number": "631-725-0074",
            "fax_number": "631-725-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633007",
            "telephone_number": "631-725-0074",
            "fax_number": "631-725-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBMJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "621-725-0074"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063885",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02092060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAG HARBOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sag Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.