NPIMap

Organization Active NPI

William Beaumont Hospital

Doing business as Beaumont Hospital Troy

  • Community/Retail Pharmacy
  • Troy, MI
National Provider Identifier
1669035093
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WILLIAM BEAUMONT HOSPITAL
Doing business as
Beaumont Hospital Troy
Corewell Health Retail Pharmacy-Troy
Practice address
Corewell Health Retail Pharmacy-Troy
44201 Dequindre, Room 11A0310
Troy, MI 48085
Phone
(586) 291-8870
NPI assigned
Apr 22, 2019
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Matthew E Cox
Title
Cfo, Corewell Health
Phone
(818) 486-5246

Specialties & licenses 1

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

Addresses

Primary practice location

Corewell Health Retail Pharmacy-Troy
44201 Dequindre, Room 11A0310
Troy, MI 48085

Mailing address

26901 Beaumont Blvd BLDG D6
Southfield, MI 48033-3849
Phone (947) 522-1963

Other names 2

  • Beaumont Hospital Troy Doing business as
  • Corewell Health Retail Pharmacy-Troy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.beaumont.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509001409 MI Part B Supplier - Mass Immunization (Roster Biller Only) 9335051093 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southfield, MI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Beaumont Hospitals119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

44201 Dequindre Rd
Rm 11A310
Troy, MI 48085
Phone (586) 291-8870

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1669035093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD BLDG D6",
            "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": "COREWELL HEALTH RETAIL PHARMACY-TROY",
            "address_2": "44201 DEQUINDRE, ROOM 11A0310",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "586-291-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-07-01",
        "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": "CFO, COREWELL HEALTH",
        "authorized_official_telephone_number": "818-486-5246"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "Beaumont Hospital Troy",
            "address_2": "44201 Dequindre, Room 11A0310",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaumont Hospital Troy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Hospital Troy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Retail Pharmacy-Troy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.