Individual provider Active NPI

Chanel Qarana

  • Pharmacist
  • Beverly Hills, MI
National Provider Identifier
1376257022
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302414167 Issued in MI
Practice address
31213 Southfield Rd
Beverly Hills, MI 48025-5455
Phone
(248) 723-4444
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302414167 MI Primary

Addresses

Primary practice location

31213 Southfield Rd
Beverly Hills, MI 48025-5455

Mailing address

5598 Hampshire Dr
West Bloomfield, MI 48322-1129
Phone (248) 470-7610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5302414167MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Pharmacy Compounding 3 Inc CurrentSince Jan 15, 2023 Accepting new patients

Locations

31213 Southfield Rd
Beverly Hills, MI 48025
Phone (248) 723-4444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1376257022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5598 HAMPSHIRE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221129",
            "telephone_number": "248-470-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31213 SOUTHFIELD RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255455",
            "telephone_number": "248-723-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QARANA",
        "first_name": "CHANEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.