Active NPI
Beyers Pharmacy Services Inc
Doing business as Wellspring Pharmacy
- Community/Retail Pharmacy
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50814
- Legal business name
- BEYERS PHARMACY SERVICES INC
- Doing business as
- Wellspring Pharmacy
- Practice address
- 4184 Piedmont Ave Ste C
Oakland, CA 94611-5174 - Phone
- (510) 428-1559
- Fax
- (510) 428-1670
- NPI assigned
- Nov 8, 2011
- Last updated
- Feb 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Beyers, RPH
- Title
- President/Coo, Pic
- Phone
- (510) 428-1559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 50814 | CA | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
4184 Piedmont Ave Ste C
Oakland, CA 94611-5174
Mailing address
4184 Piedmont Ave Ste C
Oakland, CA 94611-5174
Phone (510) 428-1559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132813 | Other | PK |
Other names 1
- Wellspring Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161103000819 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527346063 | Practice locations: Oakland, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Beyers Pharmacy Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Wellspring Pharmacy LTC
- Long Term Care Pharmacy
- Oakland, CA
- NPI 1689357659
Locations
4184 Piedmont Ave
Ste C
Oakland, CA 94611
Phone (510) 428-1559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677110400000",
"number": "1023395829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4184 PIEDMONT AVE STE C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115174",
"telephone_number": "510-428-1559",
"fax_number": "510-428-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4184 PIEDMONT AVE STE C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115174",
"telephone_number": "510-428-1559",
"fax_number": "510-428-1670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYERS PHARMACY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A",
"authorized_official_last_name": "BEYERS",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT/COO, PIC",
"authorized_official_telephone_number": "510-428-1559",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "50814",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2132813",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellspring Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakland, CA
- Quaneesha Bey
- Zeana Omega Bey
- Adam Beyda, PSY.D.
- Sara Fanta Beyene
- Yvonne Antoinette Beyer, LMFT
- Beyers Pharmacy Services Inc (Wellspring Pharmacy LTC)
- Andrew Beyers, RPH
- Beyond Emancipation Teen Health Center
- Beyond Transportation Inc.
- BFP Consulting Inc (Deeper Than Color: Social Justice & Strength-Based Psychotherapy and C)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.