Degroff RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY0000332 Issued in CT

Legal business name

DEGROFF RX LLC

Doing business as

Beacon Prescriptions

Practice address

543 W Main St
New Britain, CT 06053-3915

Phone

(860) 225-6487

Fax

(860) 229-4488

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Todd Degroff

Title

Owner

Phone

(860) 225-6487

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Beacon Prescriptions Doing business as

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Tax ID family

Beacon Prescriptions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Degroff RX LLC

  • Durable Medical Equipment & Medical Supplies
  • New Britain, CT
  • NPI 1861531675
  NPD tax ID

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1508285131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533915",
            "telephone_number": "860-225-6487",
            "fax_number": "860-229-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533915",
            "telephone_number": "860-225-6487",
            "fax_number": "860-229-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGROFF RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "DEGROFF",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-225-6487"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0000332",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146882",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008050853",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Prescriptions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Deangelis, PA-C
• Courtney K Deangelis, B.A.
• Kristen Rose Deciantis, DPT
• Barbara Anne Decker
• Cristina Melinda Decrosta, LCSW
• Degroff RX LLC
• Degroff RX, LLC
• Todd Stephen Degroff, RPH
• David Degumbia
• Veronica Dejesus, APRN

• Community/Retail Pharmacy in New Britain, CT
• Providers in New Britain, 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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.