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EOB II INC NPI 1205014255


NPI Information

NPI: 1205014255
Provider Name: EOB II INC

Doing Business As: BEACON PRESCRIPTIONS KENSINGTON

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
51-59 CHAMBERLAN HIGHWAY
KENSINGTON, CT
ZIP 06037
Phone: (860) 828-3921
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EOB II INC is a community/retail pharmacy pharmacy in Kensington, CT. The provider is 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. EOB II INC NPI is 1205014255. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Prescriptions Kensington.

The provider's business location address is:

51-59 CHAMBERLAN HIGHWAY
KENSINGTON, CT
ZIP 06037
Phone: (860) 828-3921
Fax: (860) 828-4165

The provider's authorized official is John Loveland .
The authorized official title is Owner and has the following contact phone number (860) 839-5102.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 11/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy0002105CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008003236MEDICAIDCONNECTICUT
20721058OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
36101080002MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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