NPIMap

Organization Active NPI

Botsford General Hospital

Doing business as Beaumont Pharmacy Farmington Hills

  • Community/Retail Pharmacy
  • Farmington Hills, MI
National Provider Identifier
1619079043
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BOTSFORD GENERAL HOSPITAL
Doing business as
Beaumont Pharmacy Farmington Hills
Corewell Health Retail Pharmacy Farmington Hills
Practice address
28050 Grand River Ave Ste 101
Farmington Hills, MI 48336-5919
Phone
(947) 521-8000
NPI assigned
Sep 5, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BOTSFORD GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Matthew E Cox
Title
Chief Financial Officer
Phone
(616) 486-5246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

28050 Grand River Ave Ste 101
Farmington Hills, MI 48336-5919

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1963

Other identifiers 2

IdentifierTypeStateIssuer
2040053OtherPK
2342296MedicaidMI

Other names 2

  • Beaumont Pharmacy Farmington Hills Doing business as
  • Corewell Health Retail Pharmacy Farmington Hills Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@directbeaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509000931 MI Part B Supplier - Mass Immunization (Roster Biller Only) 2668385238 1 other NPI on this enrollment
Practice locations: Southfield, MI

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
ER Phys-Botsford Gen Ho20 organizations share this tax ID, including this one
Part of
ER Phys-Botsford Gen Ho

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

28050 Grand River Ave
Ste 101
Farmington Hills, MI 48336
Phone (947) 521-8000

28100 Grand River Ave
Ste 101
Farmington Hills, MI 48336
Phone (248) 471-8000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corewell Health Rehab & Nursing Center-Commons Farmington HillsFarmington Hills, MI, CCN 235462 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 12, 1983
Dec 12, 1983

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Botsford Continuing Care Corporation

    dba Beaumont Rehabilitation & Continuing Care, Farmington Hills

    • Skilled Nursing Facility
    • Farmington Hills, MI
    • NPI 1356374185

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1619079043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "947-521-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTSFORD GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTSFORD GENERAL HOSPITAL",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "616-486-5246"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040053",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342296",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@directbeaumont.edu",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave Ste 101",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaumont Pharmacy Farmington Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Pharmacy Farmington Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Retail Pharmacy Farmington Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.