Active NPI
Beacon Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Worcester, MA
National Provider Identifier
1992865299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0499757 | Medicaid | MA |
Other names 1
- Beacon Pharmacy
National Provider Directory
National Provider DirectoryLocations
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
- Lindsey E. Bazzone, M.D., PH.D.
- Bca Best Care Companionship Aides and Home Care Services
- Be Empowered Counseling Services LLC
- Beacon Human Services
- Beacon of Hope Therapy and Consultation Services LLC
- Beacon Point Diagnostics LLC
- Rebecca Anne Beagan, MD
- Jenna Beagle
- Katrina Beal, LMHC
- Keith A Beals, PA
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.