NPIMap

Organization Active NPI

Baystate Medical Center, Inc.

Doing business as Baystate Specialty Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MA
National Provider Identifier
1972936623
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BAYSTATE MEDICAL CENTER, INC.
Doing business as
Baystate Specialty Pharmacy
Practice address
3300 Main St
Springfield, MA 01107-1112
Phone
(855) 865-5432
Fax
(413) 455-2985
NPI assigned
Aug 16, 2013
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYSTATE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Laurie Martin
Title
Chief Financial Officer
Phone
(855) 865-5432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3300 Main St
Springfield, MA 01107-1112

Mailing address

759 Chestnut St
Baystate Medical Center, Inc Attn Specialty Pharmacy
Springfield, MA 01199-0001
Phone (413) 794-0000

Other names 1

  • Baystate Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140306001812 MA DME Supplier - Pharmacy 9931184496 Practice locations: Springfield, MA
O20140613001039 MA Part B Supplier - Pharmacy 9931184496 Practice locations: Springfield, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Baystate Medical Center11 organizations share this tax ID, including this one
Part of
Baystate Medical Center

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Silver St
Unit 101
Agawam, MA 01001

10 Main St
Bsmt
Florence, MA 01062

150 Lower Westfield Rd
Ste 3
Holyoke, MA 01040
Phone (413) 322-4971

21 Dwight Rd
Ste 106
Longmeadow, MA 01106
Phone (413) 794-1249

40 Wright St
Fl 1
Palmer, MA 01069
Phone (413) 370-5400

470 Granby Rd
South Hadley, MA 01075
Phone (413) 533-3926

100 Wason Ave
Ste 210
Springfield, MA 01107
Phone (413) 794-2321

140 High St
Fl 2
Springfield, MA 01105
Phone (413) 452-3350

2 Medical Center Dr
Ste 107
Springfield, MA 01107

211 Carando Dr
Springfield, MA 01104
Phone (413) 794-4663

298 Carew St
Fl 1
Springfield, MA 01104
Phone (855) 865-5432

3300 Main St
Springfield, MA 01107
Phone (413) 794-7031

3400 Main St
#2
Springfield, MA 01107

3400 Main St
Fl 2
Springfield, MA 01199
Phone (413) 794-4681

3400 Main St
Ste 1
Springfield, MA 01107

3500 Main St
Fl 2
Springfield, MA 01107

360 Birnie Ave
Springfield, MA 01107
Phone (413) 781-1054

471 Chestnut St
Springfield, MA 01107
Phone (413) 733-1431

759 Chestnut St
#703
Springfield, MA 01199
Phone (413) 794-3376

85 South St
Bldg 4TH
Ware, MA 01082

85 South St
Rm D101
Ware, MA 01082
Phone (413) 967-2855

115 W Silver St
Fl 3
Westfield, MA 01085
Phone (413) 571-0513

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baystate Medical CenterSpringfield, MA, CCN 220077 Hospital Operational/Managerial Control Apr 1, 1983
Baystate Medical CenterSpringfield, MA, CCN 22S077 Hospital Operational/Managerial Control Apr 1, 1983
Valley Springs Behavioral Health HospitalHolyoke, MA, CCN 224047 Hospital 5% Or Greater Direct Ownership Interest (49%) Oct 13, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1972936623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "address_2": "BAYSTATE MEDICAL CENTER, INC ATTN SPECIALTY PHARMACY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011990001",
            "telephone_number": "413-794-0000",
            "fax_number": "413-794-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071112",
            "telephone_number": "855-865-5432",
            "fax_number": "413-455-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYSTATE MEDICAL CENTER, INC.",
        "enumeration_date": "2013-08-16",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "855-865-5432"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baystate Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baystate Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.