Provider Demographics
NPI:1295834034
Name:BAY PHARMACY, INC.
Entity Type:Organization
Organization Name:BAY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:ABID
Authorized Official - Last Name:JAVAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-332-5881
Mailing Address - Street 1:2240 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4139
Mailing Address - Country:US
Mailing Address - Phone:718-373-2722
Mailing Address - Fax:718-373-6852
Practice Address - Street 1:2240 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4139
Practice Address - Country:US
Practice Address - Phone:718-373-2722
Practice Address - Fax:718-373-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022380332B00000X, 333600000X, 3336C0003X, 3336C0004X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01537599Medicaid
NY3378278OtherNABP
NY3378278OtherNABP
NY0984890001Medicare ID - Type Unspecified