Mark Jay Beckwith

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3220 Issued in MO

Legal business name

MARK JAY BECKWITH

Doing business as

BECKWITH PHARMACY

Practice address

107 N Lincoln Dr
Troy, MO 63379-1315

Phone

(636) 528-8462

Fax

(636) 748-6433

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mark Jay Beckwith, RPH

Title

Owner

Phone

(636) 528-8462

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BECKWITH PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1619902343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791315",
            "telephone_number": "636-528-8462",
            "fax_number": "636-748-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N LINCOLN DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791315",
            "telephone_number": "636-528-8462",
            "fax_number": "636-748-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JAY BECKWITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-528-8462",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "3220",
            "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": "2049617",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600657803MO",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BECKWITH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen A Macdonald, PSY D
• Anne Marie Maestas, DPM
• Patricia A Mahathath, PMHNP, FNP
• Joyce Maixner, FNP-BC
• Katherine Manning
• Taylor Laray Martin, DC
• Bradley James Massey, D.O.
• Rebecca Ann Materniak, LPC, NCC
• Timothy McCullough, MD
• Destany Danielle McDaniel, LCSW

• Community/Retail Pharmacy in Troy, MO
• Providers in Troy, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.