Organization Active NPI

RW Group, Inc

  • Community/Retail Pharmacy
  • Bristol, CT
National Provider Identifier
1831161918
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1086 Issued in CT
Legal business name
RW GROUP, INC
Practice address
57 South St
Bristol, CT 06010-6524
Phone
(560) 583-1006
Fax
(860) 582-2810
NPI assigned
Feb 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Mr. Gus Campos, PHARMDNPI 1639627003
Title
President/Pharmacist
Phone
(860) 583-1006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1086 CT
Community/Retail Pharmacy 3336C0003X 1086 CT Primary

Addresses

Primary practice location

57 South St
Bristol, CT 06010-6524

Mailing address

57 South St
Bristol, CT 06010-6524
Phone (560) 583-1006

Other names 1

  • BEACON PRESCRIPTIONS - SOUTH STREET Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078932 CT DME Supplier - Pharmacy 1052432465 Practice locations: Bristol, CT
O20210218000743 CT Part B Supplier - Pharmacy 1052432465 Practice locations: Bristol, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
RW Group, Inc57 South St, Bristol, CT 06010-6524(860) 583-1006 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Sep 20, 1999

National Provider Directory

National Provider Directory
Tax ID family
Beacon Medication Services2 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.

Locations

57 South St
Bristol, CT 06010
Phone (560) 583-1006

25 Mellen St
Bristol, CT 06010
Phone (860) 582-4847

Practitioners & affiliated clinicians

Practitioners 3

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": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1831161918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SOUTH ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106524",
            "telephone_number": "560-583-1006",
            "fax_number": "860-582-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTH ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106524",
            "telephone_number": "560-583-1006",
            "fax_number": "860-582-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RW GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "860-583-1006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "1086",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACON PRESCRIPTIONS - SOUTH STREET",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEACON PRESCRIPTIONS - SOUTH STREET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.