OrganizationActive
Bayside Rx LLC
NPI 1558725853 · Managed Care Organization Pharmacy · Bayside, NY
Bayside Rx LLC is a Managed Care Organization Pharmacy organization in Bayside, NY (NPI 1558725853).
Provider details
- NPI number
- 1558725853
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jaclyn Prisco, President(347) 749-8544
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21411 41st Ave
Bayside, NY 11361-2133
Phone: (347) 749-8544
Fax: (718) 522-2388
Street-level locationGet directions
Mailing address
21411 41st Ave
Bayside, NY 11361-2133
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2016-04-12
Frequently asked questions
- What is Bayside Rx LLC's NPI number?
- Bayside Rx LLC's National Provider Identifier (NPI) is 1558725853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Rx LLC?
- Bayside Rx LLC is classified in the NPPES registry as Managed Care Organization Pharmacy (Suppliers).
- Where is Bayside Rx LLC located?
- Bayside Rx LLC's practice location on file with NPPES is 21411 41st Ave, Bayside, NY 11361-2133.
- What is Bayside Rx LLC's phone number?
- The practice phone number listed in the NPPES registry for Bayside Rx LLC is (347) 749-8544.
- Who is the authorized official for Bayside Rx LLC?
- The authorized official listed on Bayside Rx LLC's NPPES record is Jaclyn Prisco, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Rx LLC's NPI active?
- Yes — Bayside Rx LLC's NPI (1558725853) is active in the NPPES registry as of the last update on 2016-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.