=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376469825
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BAYCARE RX PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2026
-----------------------------------------------------
Last Update Date | 06/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4538 BELL BLVD
-----------------------------------------------------
City | BAYSIDE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11361-3308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-766-0582
-----------------------------------------------------
Fax | 718-766-0583
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4538 BELL BLVD
-----------------------------------------------------
City | BAYSIDE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11361-3308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-766-0582
-----------------------------------------------------
Fax | 718-766-0583
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ZHUOWEN CHEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 646-835-9753
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------