Active NPI
Beasley Drug Company
- Long Term Care Pharmacy
- Conyers, GA
National Provider Identifier
1104161710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2025
- 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
- Waleed Khatri
- Title
- Owner
- Phone
- (770) 483-7211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Company
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Conyers, GA
- NPI 1013041722
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.
-
- Pharmacist
- Conyers, GA
- NPI 1598355869
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.