Big Y Pharmacy #30

LBN: Big Y Foods Inc
Big Y Pharmacy #30 is an health care organization with primary practice located at 224 Salem Tpke , Norwich CT 06360-6455. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Big Y Foods Inc can be contacted via phone (860) 886-1301, or through Pappas, George via phone (413) 504-4492.

Contact Information

Primary practice address
224 Salem Tpke Norwich CT 06360-6455
Phone: (860) 886-1301
Fax: (860) 886-1304
Website:
Map and Directions
Authorized official contact:
Name: Pappas, George
Phone: (413) 504-4492

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PCY.1975 Connecticut
Suppliers / Pharmacy 333600000X PCY1975 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306935937
LBN Legal business name Big Y Foods Inc
DBA Doing business as Big Y Pharmacy #30
Authorized official Pappas, George
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 15th, 2015 - about 10 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 1306935937 NPPES
Connecticut MEDICAID 004249886
Connecticut Other 0720246

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