BEACON FALLS PHARMACY, LLC (NPI# 1851317705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851317705 |
| Entity Type | Organization |
| Organization Name | BEACON FALLS PHARMACY, LLC |
| Other Organization Name | BEACON FALLS PHARMACY LLC |
| Practice Address |
20 N Main St Beacon Falls CT 06403-1131 |
| Mailing Address |
Po Box 218 Beacon Falls CT 06403-0218 |
| Practice Telephone | 2037294567 |
| Practice Fax Number | 2037294573 |
| Mailing Telephone | 2037294567 |
| Mailing Fax Number | 2037294573 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | ROBERT BRADLEY (OWNER) |
| Authorized Official Telephone | 2037294567 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCY2015 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2002743 | 01 | |
| CT | 004253548 | 05 |
| Other Name | Type Code |
|---|---|
| BEACON FALLS PHARMACY LLC | Doing Business As Name - Organization |
| Street Address |
20 N MAIN ST |
| City | BEACON FALLS |
| State | CT |
| Zip Code | 06403-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558721324 | Marion Bradley | Pharmacist | 20 N Main St, Beacon Falls, CT 06403-1131 | 2016-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366535858 | Susan G Mcduffie | Marriage & Family Therapist | 2 Haley Ridge Road, Beacon Falls, CT 06403 | 2006-10-02 |
| 1538103833 | Sudipta Dey | Internal Medicine | 45 Pines Bridge Rd, Beacon Falls, CT 06403-1015 | 2006-06-16 |
| 1578689287 | Sudipta & Bindu Dey, Md, Inc | Internal Medicine | 45 Pines Bridge Rd, Beacon Falls, CT 06403-1015 | 2007-03-22 |
| 1629013503 | Bindu Dey | Internal Medicine | 45 Pines Bridge Rd, Beacon Falls, CT 06403-1015 | 2006-06-17 |
| 1548706153 | Vanmaly K Sanchez | Nurse Practitioner | 127 Pines Bridge Rd, Beacon Falls, CT 06403-1017 | 2017-01-06 |
| 1912141672 | Janet Mead Lanci | Counselor | 161 Pines Bridge Rd, Beacon Falls, CT 06403-1017 | 2009-04-26 |
| 1265928154 | Eileen Lonegan | Nurse Practitioner | 127 Pines Bridge Rd, Beacon Falls, CT 06403-1017 | 2018-07-03 |
| 1043413388 | Francis Julius Coppola IIi | Social Worker | 10 N Main St, Apt. Sh-106, Beacon Falls, CT 06403-1133 | 2007-06-06 |
| 1669928461 | Laura Vangor | Behavioral Analyst | 2 N Main St, Apt B170, Beacon Falls, CT 06403-1151 | 2016-08-31 |
| 1821098781 | Beacon Hose Company 1 | Ambulance | 35 North Main Street, Beacon Falls, CT 06403-1169 | 2005-07-21 |
| Find all providers in zip 06403 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
| City | BEACON FALLS |
| Zip Code | 06403 |
Please comment or provide details below to improve the information on BEACON FALLS PHARMACY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.