Beacon Pharmacy LLC
Organization Active NPI Long Term Care Pharmacy · Vernon, CT
NPI 1447898523 · NPPES record last updated Dec 19, 2019
Key facts
- NPI
- 1447898523
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- BEACON PHARMACY LLC
- Practice address
- 42 Windsor Ave
Vernon, CT 06066-2438 - Phone
- (860) 875-9263
- NPI assigned
- Dec 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Mayur Patel
- Title
- Member
- Phone
- (845) 292-8200
Practitioners 3
-
Susan Davis, RPH
-
Abhishek Patel, PHARM.D.
National Provider Directory
Locations
42 Windsor Ave
Vernon Rockville, CT 06066
Phone (860) 875-9263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
42 Windsor Ave
Vernon, CT 06066-2438
Mailing address
42 Windsor Ave
Vernon, CT 06066-2438
Phone (860) 875-9263
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008043533 | Medicaid | CT |
Other providers in Vernon, CT
- Patricia Cosgrove Barresi
- Barry W Haight MD
- Joseph Jr. Bartoszek Jr.
- Richard A Basile
- BDL Livery LLC
- Aida Becker
- Brian Bediako
- Nina M Belfer-Tyler
- Amanda Bellezza
- Aleksandra Belonick
All providers in Vernon, CT · Long Term Care 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 Dec 19, 2019. 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.