Belavista Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008225 Issued in MI

Legal business name

BELAVISTA DRUGS INC

Practice address

15830 Fort St
Suite 5
Southgate, MI 48195-1367

Phone

(734) 282-1940

Fax

(734) 282-1539

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jihad H Beydoun, R PHNPI 1659810323

Title

Owner Chief Pharmacist

Phone

(734) 282-1940

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jihad H Beydoun

  • Pharmacist
  • Southgate, MI
  • NPI 1659810323
  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1619019957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "SUITE 5",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-1940",
            "fax_number": "734-282-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "SUITE 5",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-1940",
            "fax_number": "734-282-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAVISTA DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER CHIEF PHARMACIST",
        "authorized_official_telephone_number": "734-282-1940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie-Ann Ellen Bechtol
• Emileigh Bechtolt
• Bedside Specialists Inc
• Timothy Beiermeister, LMSW
• Belavista Drugs
• Gay Lynne Bell, MSW
• Phoenix Anttiwon Bell, BA
• Tabitha Bell
• Tyrone Bell, PH.D
• Bellavista Medical Center PLLC

• Community/Retail Pharmacy in Southgate, MI
• Providers in Southgate, 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 Oct 22, 2014; 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.