Eob II Inc
Organization Active NPI Community/Retail Pharmacy · Kensington, CT
NPI 1205014255 · NPPES record last updated Nov 7, 2011
Key facts
- NPI
- 1205014255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0002105 (CT)
- Legal business name
- EOB II INC
- Practice address
- 51-59 Chamberlan Highway
Kensington, CT 06037 - Phone
- (860) 828-3921
- Fax
- (860) 828-4165
- NPI assigned
- Feb 1, 2008
- Organization subpart
- No
Authorized official
- Name
- John Loveland, RPH
- Title
- Owner
- Phone
- (860) 839-5102
National Provider Directory
Locations
59 Chamberlain Hwy
Kensington, CT 06037
Phone (860) 828-4161
51 Chamberlain Hwy
#59
Kensington, CT 06037
Phone (860) 225-6487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0002105 | CT | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
51-59 Chamberlan Highway
Kensington, CT 06037
Mailing address
59 Chamberlain Hwy
Kensington, CT 06037-1920
Phone (860) 828-3921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003236 | Medicaid | CT | |
| 0721058 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- BEACON PRESCRIPTIONS KENSINGTON
Other providers in Kensington, CT
- Mark Francis Di Loreto
- John Louis Diakun
- Dr Tosatti Group
- Dr. Lisa M. Arciero OD LLC
- Dr. Mark Diloreto LLC
- Stu Erris
- Eugene Ciccone, MD, LLC
- Charles William Fogie
- Jill Foley
- Cameron Joseph Francoeur
All providers in Kensington, CT · Community/Retail Pharmacy in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.