1. Home
  2. Directory
  3. New York
  4. Bayside
  5. Pharmacy
  6. NPI Profile

BAYSIDE RX LLC
NPI 1558725853
Pharmacy - Managed Care Organization Pharmacy in Bayside, NY

Active since April 12, 2016
21411 41ST AVE, BAYSIDE, NY 11361(347) 749-8544(718) 522-2388 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bayside Rx Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYSIDE RX LLC (NPI 1558725853) is a healthcare organization registered as a managed care organization pharmacy in Bayside, New York and active in the NPI registry since April 2016. The organization lists Jaclyn Prisco, President, as its authorized official.

NPPES Registry Identity

NPI1558725853
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameBAYSIDE RX LLC
Location Address21411 41ST AVEBayside, NY 11361-2133
Mailing Address21411 41st AveBayside, NY 11361-2133 · (347) 749-8544 · Fax (718) 522-2388
Phone(347) 749-8544
Fax(718) 522-2388
Organization SubpartNo
Authorized OfficialJaclyn PriscoPresident · (347) 749-8544
Enumeration DateApril 12, 2016
✔ NPI 1558725853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
21411 41ST AVE, Bayside, NY 11361
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYSIDE RX LLC
Pharmacy
21411 41ST AVE
FLUSHING, NY 11361
Queens County (718) 244-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayside Rx LLC's NPI number?

The NPI number for Bayside Rx LLC is 1558725853. It was assigned to this organization in the NPPES registry on April 12, 2016.

Where is Bayside Rx LLC located?

Bayside Rx LLC is located at 21411 41st Ave, Bayside, NY 11361. The listed phone number is (347) 749-8544.

What is Bayside Rx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

When was this NPI record last updated?

The NPPES record for Bayside Rx LLC was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.