Organization Active NPI

Beydoun Drug Stores PC

  • Specialty Pharmacy
  • Oak Park, MI
National Provider Identifier
1255980264
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
BEYDOUN DRUG STORES PC
Practice address
13821 W 9 Mile Rd
Oak Park, MI 48237-2775
Phone
(248) 541-0600
Fax
(248) 541-0603
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Wissam BeydounNPI 1356813000
Title
Owner Pharmacist
Phone
(248) 541-0600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

13821 W 9 Mile Rd
Oak Park, MI 48237-2775

Mailing address

13821 W 9 Mile Rd
Oak Park, MI 48237-2775
Phone (248) 541-0600

Other practice location 1

13821 W 9 Mile Rd
Oak Park, MI 48237-2775
Phone (248) 541-0600

Other names 1

  • good health pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

13821 W 9 Mile Rd
Oak Park, MI 48237
Phone (248) 541-0600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1255980264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372775",
            "telephone_number": "248-541-0600",
            "fax_number": "248-541-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372775",
            "telephone_number": "248-541-0600",
            "fax_number": "248-541-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13821 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "MI",
            "postal_code": "482372775",
            "country_code": "US",
            "telephone_number": "248-541-0600",
            "fax_number": "248-541-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEYDOUN DRUG STORES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "248-541-0600"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "good health pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.