Organization Active NPI

Beasley Drug Company

  • Community/Retail Pharmacy
  • Conyers, GA
National Provider Identifier
1013041722
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009906 Issued in GA
Legal business name
BEASLEY DRUG COMPANY
Practice address
933 Center St NE
Conyers, GA 30012-4567
Phone
(770) 483-7211
Fax
(770) 483-9654
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Waleed Khatri
Title
President
Phone
(347) 819-5282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009906 GA Primary

Addresses

Primary practice location

933 Center St NE
Conyers, GA 30012-4567

Mailing address

933 Center St NE
Conyers, GA 30012-4567
Phone (770) 483-7211

Other identifiers 1

IdentifierTypeStateIssuer
2139785OtherPK

Other names 1

  • Beasley Drug Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130509000307 GA DME Supplier - Pharmacy 3173760287 Practice locations: Conyers, GA
O20211119000573 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3173760287 Practice locations: Conyers, GA

National Provider Directory

National Provider Directory
Tax ID family
Beasley Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1013041722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 CENTER ST NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124567",
            "telephone_number": "770-483-7211",
            "fax_number": "770-483-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 CENTER ST NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124567",
            "telephone_number": "770-483-7211",
            "fax_number": "770-483-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEASLEY DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "KHATRI",
        "authorized_official_first_name": "WALEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-819-5282"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beasley Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.