Active NPI
Allegan Pharmacy LLC
- Long Term Care Pharmacy
- Allegan, MI
National Provider Identifier
1629745476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ALLEGAN PHARMACY LLC
- Practice address
- 551 Linn St Ste 120
Allegan, MI 49010-1591 - Phone
- (269) 673-4700
- NPI assigned
- Aug 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed A Beydoun, PHARMD
- Title
- Owner
- Phone
- (269) 673-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
551 Linn St Ste 120
Allegan, MI 49010-1591
Mailing address
551 Linn St Ste 120
Allegan, MI 49010-1591
Phone (269) 673-4700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1629745476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 LINN ST STE 120",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101591",
"telephone_number": "269-673-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 LINN ST STE 120",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101591",
"telephone_number": "269-673-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGAN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-27",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "BEYDOUN",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-673-4700",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.