Organization Active NPI

Beacon Pharmacy, LLC

  • Community/Retail Pharmacy
  • Sandy Springs, GA
National Provider Identifier
1528200136
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009571 Issued in GA
Legal business name
BEACON PHARMACY, LLC
Practice address
8607 Roberts Dr Ste 150-B
Sandy Springs, GA 30350-2238
Phone
(770) 709-0124
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Edith A Rosato
Title
Ceo
Phone
(770) 518-8272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009571 GA Primary

Addresses

Primary practice location

8607 Roberts Dr Ste 150-B
Sandy Springs, GA 30350-2238

Mailing address

8607 Roberts Dr Ste 150-B
Sandy Springs, GA 30350-2238
Phone (770) 709-0124

National Provider Directory

National Provider Directory

Locations

8800 Roswell Rd
Ste 175
Sandy Springs, GA 30350
Phone (770) 709-0124

8607 Roberts Dr
Ste 150B
Sandy Springs, GA 30350
Phone (770) 709-0124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1528200136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 ROBERTS DR STE 150-B",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502238",
            "telephone_number": "770-709-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 ROBERTS DR STE 150-B",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502238",
            "telephone_number": "770-709-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "ROSATO",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-518-8272"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.