Baystate Pharmacy

LBN: Baystate Medical Center, Inc.
Baystate Pharmacy is an health care organization with primary practice located at 380 Plainfield St , Springfield MA 01107-1524. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Baystate Medical Center, Inc. can be contacted via phone (413) 794-9442, or through Kerr, Gary via phone (413) 794-3178.

Contact Information

Primary practice address
380 Plainfield St Springfield MA 01107-1524
Phone: (413) 794-9442
Fax: (413) 794-9443
Website:
Map and Directions
Authorized official contact:
Name: Kerr, Gary PHARMD
Phone: (413) 794-3178

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X MA0045484 Massachusetts

Profile Details

NPI number 1861597411
LBN Legal business name Baystate Medical Center, Inc.
DBA Doing business as Baystate Pharmacy
Authorized official Kerr, Gary PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861597411 NPPES
Massachusetts MEDICAID 110020829/D
Massachusetts MEDICAID 0445401
Massachusetts Other 2236380

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