Organization Active NPI

Beyers Pharmacy Services Inc

Doing business as Wellspring Pharmacy

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1023395829
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50814 Issued in CA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Andrew Beyers, RPHNPI 1548969058
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2132813OtherPK

Other names 1

  • Wellspring Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 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.

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

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.

Verify at the official NPI Registry.