Healthcare Provider Details

I. General information

NPI: 1942779665
Provider Name (Legal Business Name): BAY CHEMISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8702 5TH AVE
BROOKLYN NY
11209-5204
US

IV. Provider business mailing address

8702 5TH AVE
BROOKLYN NY
11209-5204
US

V. Phone/Fax

Practice location:
  • Phone: 347-909-7107
  • Fax: 347-909-7118
Mailing address:
  • Phone: 347-909-7107
  • Fax: 347-909-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE MUYIR
Title or Position: OWNER
Credential: PHARM D
Phone: 347-909-7107