Bayside Pharmacy LLC

Community/Retail Pharmacy · Winter Haven, FL

Organization Active NPI

NPI number 1023599321

Practice location

205 1st St S Ste 106
Winter Haven, FL 33880-3266
Phone
(863) 377-4774
Fax
(863) 377-4744

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NPI record

NPI
1023599321
Entity type
Organization (Type 2)
Enumeration date
August 24, 2018
Last updated
March 12, 2025
Certified
March 12, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X PH31592 FL
Long Term Care Pharmacy 3336L0003X — —

Authorized official

Name
Prof. Chiranjivi B Jannu, R.PH
Title
Director of Pharmacy
Phone
(646) 673-0044

Other names

  • Butterfly Pharmacy

About Bayside Pharmacy LLC

Bayside Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 205 1st St S Ste 106, Winter Haven, FL 33880-3266. The NPI number 1023599321 was assigned on August 24, 2018 and the record was last updated on March 12, 2025.

Bayside Pharmacy LLC lists a license in the registry: #PH31592 (FL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Prof. Chiranjivi B Jannu, R.PH, Director of Pharmacy.

Frequently asked questions

What is the NPI number of Bayside Pharmacy LLC?

The NPI number is 1023599321.

What is the phone number of Bayside Pharmacy LLC?

The phone number listed for the practice location is (863) 377-4774.

Where is Bayside Pharmacy LLC located?

205 1st St S Ste 106, Winter Haven, FL 33880-3266.

What is the taxonomy code for Bayside Pharmacy LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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