Maureen G Beversdorf, CPHT.

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

221507051552616 Issued in MI

Practice address

131 Kercheval Ave
Suite 110
Grosse Pointe Farms, MI 48236-3629

Phone

(313) 640-2591

Fax

(313) 640-2589

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Henry Ford Health System

  • Community/Retail Pharmacy
  • Grosse Pointe Farms, MI
  • NPI 1083708481
  NPD (past)
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508977091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21960 LESTER ST",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL AVE",
            "address_2": "SUITE 110",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363629",
            "telephone_number": "313-640-2591",
            "fax_number": "313-640-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERSDORF",
        "first_name": "MAUREEN",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "CPHT.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "221507051552616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARM CERTIFIED TECH",
            "identifier": "221507051552616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Alan Andrews
• Angelic Home Care
• Joseph David Arbanas, D.P.M.
• Muna Beeai, MD
• Melissa Belt
• Robert Neal Bishai, D.D.S.
• Sherry Bloodworth, FNP-C
• Bon Secours Cottage Health Services
• Alicia Bonahoom, MA, LLP
• Sarah Grace Bowering

• All providers in Grosse Pointe Farms, MI
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.