Beecher RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BEECHER RX LLC

Practice address

3169 Beecher Rd Ste 102
Flint, MI 48532

Phone

(810) 337-1121

Fax

(810) 963-0417

NPI assigned

May 31, 2016

Organization subpart

Yes

Parent organization

BEECHER RX, LLCAs reported in NPPES

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

Authorized official

Name

Isam TahboubNPI 1679731509

Title

Owner

Phone

(810) 337-1121

Specialties & licenses 1

Addresses

Other names 1

• BEECHER RD FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

Beecher RX LLC

Locations

Practitioners 1

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

• Isam Tahboub, R.PH., M.S.

  • Pharmacist
  • Flint, MI
  • NPI 1679731509
  NPD Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1134577273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 BEECHER RD STE 102",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 BEECHER RD STE 102",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-337-1121",
            "fax_number": "810-963-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHER RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEECHER RX, LLC",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "TAHBOUB",
        "authorized_official_first_name": "ISAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-337-1121"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEECHER RD FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marjorie Beckers, RN
• Michele L. Beckett, PAC
• Jane Renae Beckwith, OTR/L
• Timothy Paul Bedell II, NP
• Beecher Home Health Care LLC
• Leslie Beemer, DOULA
• Joel Anthony Beene, M.D.
• Michael R Beer, M.D.
• Patrick Richard Beer, D.O.
• Jessica Lynn Beeson

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.