Organization Active NPI

Beasley Drug Company

  • Long Term Care Pharmacy
  • Conyers, GA
National Provider Identifier
1104161710
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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
Dec 7, 2012
Last updated
Nov 11, 2025By the provider in NPPES
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
Owner
Phone
(770) 483-7211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 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

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, 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": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1104161710",
    "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": "2012-12-07",
        "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": "OWNER",
        "authorized_official_telephone_number": "770-483-7211"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.