Healthcare Provider Details

I. General information

NPI: 1548176399
Provider Name (Legal Business Name): BAYCHESTER PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500-5 BAYCHESTER AVE.
BRONX NY
10475
US

IV. Provider business mailing address

500-5 BAYCHESTER AVE.
BRONX NY
10475
US

V. Phone/Fax

Practice location:
  • Phone: 718-744-0234
  • Fax: 718-744-0288
Mailing address:
  • Phone: 718-744-0234
  • Fax: 718-744-0288

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: ANGEL MARTINEZ
Title or Position: OWNER
Credential:
Phone: 718-744-0234