BAYSIDE RX LLC (NPI# 1033573076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033573076 |
| Entity Type | Organization |
| Organization Name | BAYSIDE RX LLC |
| Practice Address |
21411 41st Ave Flushing NY 11361-2133 |
| Practice Telephone | 7182441400 |
| Practice Fax Number | 7182441444 |
| Mailing Telephone | 7182441400 |
| Mailing Fax Number | 7182441444 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | JACLYN PRISCO (PRESIDENT) |
| Authorized Official Telephone | 6468066480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166345 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558725853 | Bayside Rx LLC | Pharmacy | 21411 41st Ave, Bayside, NY 11361-2133 | 2016-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BAYSIDE RX LLC | 42-27 Bell Blvd, Bayside, Ny 11361 |
| Street Address |
21411 41ST AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11361-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1437770310 | Kissena Rx Pharmacy Inc | Pharmacy | 4121 Kissena Blvd, Flushing, NY 11355-3138 | 2020-05-01 |
| 1538718002 | Lo Ng Pharmacy Corp | Pharmacy | 44-45a Kissena Blvd, Flushing, NY 11355-3055 | 2019-09-08 |
| 1851859904 | Roosevelt Rx, Inc. | Pharmacy | 13357 Roosevelt Ave, Flushing, NY 11354-5254 | 2019-03-07 |
| 1750846226 | Elements Pharmacy Inc. | Pharmacy | 3808 Union St Ste 2d, Flushing, NY 11354-5544 | 2019-02-08 |
| 1740753862 | Affinity Rx Inc | Pharmacy | 7307 Main St, Flushing, NY 11367-2409 | 2019-01-11 |
| 1497229595 | Tamara Yunusova | Pharmacy | 14732 77th Ave, Flushing, NY 11367-3124 | 2019-01-11 |
| 1417429408 | Leavitt Pharmacy Inc | Pharmacy | 3519 Leavitt St Apt S1, Flushing, NY 11354-2992 | 2019-01-01 |
| 1467960864 | Kims Pharmacy Inc. | Pharmacy | 150-15 Northern Blvd, Flushing, NY 11354 | 2018-01-19 |
| 1285140624 | American Health Pharmacy Inc. | Pharmacy | 13310 41st Rd, Flushing, NY 11355-5864 | 2017-12-21 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.