# BEACON PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447898523
- **Authorized official:** MAYUR PATEL (MEMBER)
- **Authorized official phone:** (845) 292-8200

## Contact information

- **Practice address:** 42 WINDSOR AVE, VERNON, CT 06066-2438
- **Practice address phone:** (860) 875-9263
- **Mailing address:** 42 WINDSOR AVE, VERNON, CT 06066-2438
- **Mailing address phone:** (860) 875-9263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2019
- **Last updated:** 12/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008043533 | — | CT |