Big Y Pharmacy #84

LBN: Big Y Foods, Inc.
Big Y Pharmacy #84 is an health care organization with primary practice located at 355 Hawley Lane , Stratford CT 06614. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Big Y Foods, Inc. can be contacted via phone (413) 504-4492, or through Gold, Michael S via phone 14135044492.

Contact Information

Primary practice address
355 Hawley Lane Stratford CT 06614
Phone: (413) 504-4492
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gold, Michael S
Phone: 14135044492

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PCY.2103 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X PCY.2103 Connecticut

Profile Details

NPI number 1144404344
LBN Legal business name Big Y Foods, Inc.
DBA Doing business as Big Y Pharmacy #84
Authorized official Gold, Michael S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 15th, 2015 - about 11 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 1144404344 NPPES
Connecticut MEDICAID 500000241
Connecticut Other PCY.2103

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