Organization Active NPI

Degroff RX LLC

  • Durable Medical Equipment & Medical Supplies
  • New Britain, CT
National Provider Identifier
1861531675
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Sue M Bartomioli
Title
Business Office Manager
Phone
(860) 225-6487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PCY0000332 CT Primary

Addresses

Primary practice location

543 W Main St
New Britain, CT 06053-3915

Mailing address

543 W Main St
New Britain, CT 06053-3915
Phone (860) 225-6487

Other identifiers 1

IdentifierTypeStateIssuer
2145711OtherPK

Other names 1

  • Beacon Prescriptions Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1861531675",
    "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": "2007-02-06",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BARTOMIOLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "860-225-6487"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "PCY0000332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145711",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Prescriptions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Britain, CT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.