Dca Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY000133 Issued in CT

Legal business name

DCA INC

Doing business as

Beacon Prescriptions

Practice address

609 N Main St
Southington, CT 06489-2051

Phone

(860) 628-3972

Fax

(860) 621-7862

NPI assigned

Aug 23, 2006

Last updated

Feb 6, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Annik ChamberlinNPI 1629079165

Title

Owner

Phone

(860) 628-3972

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Beacon Prescriptions Doing business as

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annik Stephanie Chamberlin, PHARMD, CDM

  • Pharmacist
  • Bristol, CT
  • NPI 1629079165
  NPD Authorized official
• David Gardner, PHARMD

  • Pharmacist
  • Southington, CT
  • NPI 1326558123
  NPD (past)
• Lukasz Jamrozek

  • Pharmacist
  • Southington, CT
  • NPI 1265010904
  NPD (past)
• Frank John Tirino

  • Pharmacist
  • Bristol, CT
  • NPI 1902619067
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1184730814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892051",
            "telephone_number": "860-628-3972",
            "fax_number": "860-621-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892051",
            "telephone_number": "860-628-3972",
            "fax_number": "860-621-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "ANNIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-628-3972"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "1334",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY000133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0712643",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Prescriptions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael T Daley, PT
• Kaitlyn Dana
• Vuong Duc Dang, PA
• Michael J Dawson, PA
• Joyce Cerejo Day, PH.D; LPC
• Lori Marie De la Portilla, DO
• Katherine Delarosa
• Michael A Della Volpe, D.C.
• Demas Orthodontics PC
• Donald Christian Demas, DDS, MS

• Community/Retail Pharmacy in Southington, CT
• Providers in Southington, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.