Beacon Drug Co. #6

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY354220 Issued in CA

Legal business name

BEACON DRUG CO. #6

Practice address

1303 N Avalon Blvd
Wilmington, CA 90744-2603

Phone

(310) 834-3457

Fax

(310) 834-1170

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By 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

Eric Song, PHARM. D

Title

Pharamicist in Charge

Phone

(310) 834-3457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295749760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442603",
            "telephone_number": "310-834-3457",
            "fax_number": "310-834-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442603",
            "telephone_number": "310-834-3457",
            "fax_number": "310-834-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DRUG CO. #6",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHARAMICIST IN CHARGE",
        "authorized_official_telephone_number": "310-834-3457",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY354220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvis Baquero, DDS
• Mauro Barachetti
• Tina Louise Baragiola
• Erik Carl Barnes, CCAPP
• Evelyn Barragan
• Behavioral Health Services Inc. (BHS - El Puerto Family Health Center)
• Behavioral Health Services Inc. (Wilmington Community Recovery Center)
• Bella Luna Care Home Inc
• Miguel Angel Belloso Andrade
• Laurent Ruben Benhamou, D.C.

• Community/Retail Pharmacy in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.