Healthcare Provider Details

I. General information

NPI: 1376469825
Provider Name (Legal Business Name): BAYCARE RX PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4538 BELL BLVD
BAYSIDE NY
11361-3308
US

IV. Provider business mailing address

4538 BELL BLVD
BAYSIDE NY
11361-3308
US

V. Phone/Fax

Practice location:
  • Phone: 718-766-0582
  • Fax: 718-766-0583
Mailing address:
  • Phone: 718-766-0582
  • Fax: 718-766-0583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ZHUOWEN CHEN
Title or Position: PRESIDENT
Credential:
Phone: 646-835-9753