Organization Active NPI

Beacon Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Worcester, MA
National Provider Identifier
1992865299
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BEACON PHARMACY INC
Practice address
810 Main St
Worcester, MA 01610-2422
Phone
(508) 757-4416
Fax
(508) 754-4560
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Garry Levitsky, RPH
Title
Owner
Phone
(508) 757-4416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X 15362 MA

Addresses

Primary practice location

810 Main St
Worcester, MA 01610-2422

Mailing address

810 Main St
Worcester, MA 01610-2422
Phone (508) 757-4416

Other identifiers 1

IdentifierTypeStateIssuer
0499757MedicaidMA

Other names 1

  • Beacon Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

810 Main St
Worcester, MA 01610
Phone (508) 757-4416

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992865299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102422",
            "telephone_number": "508-757-4416",
            "fax_number": "508-754-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102422",
            "telephone_number": "508-757-4416",
            "fax_number": "508-754-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LEVITSKY",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-757-4416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "15362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499757",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.