Organization Active NPI

RW Group Inc

Doing business as Beacon Medication Services

  • Long Term Care Pharmacy
  • Bristol, CT
National Provider Identifier
1932402336
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RW GROUP INC
Doing business as
Beacon Medication Services
Practice address
25 Mellen St
Bristol, CT 06010-6313
Phone
(860) 582-4847
Fax
(860) 584-9718
NPI assigned
Dec 8, 2010
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Gus Campos, PHARMDNPI 1639627003
Title
President
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PCY0002195 CT
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

25 Mellen St
Bristol, CT 06010-6313

Mailing address

25 Mellen St
Bristol, CT 06010-6313
Phone (860) 582-4847

Other identifiers 2

IdentifierTypeStateIssuer
008032955MedicaidCT
2127965OtherPK

Other names 1

  • BEACON MEDICATION SERVICES Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1932402336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MELLEN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106313",
            "telephone_number": "860-582-4847",
            "fax_number": "860-584-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MELLEN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106313",
            "telephone_number": "860-582-4847",
            "fax_number": "860-584-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RW GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-583-1006",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0002195",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008032955",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACON MEDICATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEACON MEDICATION SERVICES",
            "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 May 22, 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.