Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayside Rx LLC

Organization Managed Care Organization Pharmacy · NPI 1558725853

Bayside Rx LLC is a Managed Care Organization Pharmacy in Bayside, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21411 41st Ave
Bayside, NY 11361-2133
Phone: (347) 749-8544
Fax: (718) 522-2388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X (NY)

Record details

NPI number1558725853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Prisco — President · (347) 749-8544
NPI enumeratedApril 12, 2016
Last updated in NPPESApril 12, 2016
Mailing address21411 41st Ave, Bayside, NY 11361-2133