Mark Jay Beckwith
Mark Jay Beckwith is a healthcare organization registered as Community/Retail Pharmacy in Troy, MO, holding Type 2 (organization) NPI 1619902343 since 2006. The authorized official on file is Mark Beckwith, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619902343 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark Jay Beckwith |
| Other name | <Unavail> |
| Practice address | 107 N LINCOLN DR, Troy, MO, 63379 |
| Phone | 6365288462 |
| Fax | 6367486433 |
| Enumeration date | 2006-07-11 |
| Last updated in NPPES | 2026-02-16 |
Authorized official
| Name | Mark Beckwith |
|---|---|
| Title | Owner |
| Phone | 6365288462 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 3220 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2049617 | Other | — | PK |
| 600657803MO | Medicaid | MO | — |
Copy-ready billing details
Provider: Mark Jay Beckwith NPI: 1619902343 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 107 N LINCOLN DR, Troy, MO, 63379
Verify this record
Cross-check NPI 1619902343 against the authoritative CMS record: view Mark Jay Beckwith on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mark Jay Beckwith?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-02-16.