Organization Active NPI

Beyers Pharmacy Services Inc

Doing business as Wellspring Pharmacy LTC

  • Long Term Care Pharmacy
  • Oakland, CA
National Provider Identifier
1689357659
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BEYERS PHARMACY SERVICES INC
Doing business as
Wellspring Pharmacy LTC
Practice address
4184 Piedmont Ave Ste C
Oakland, CA 94611-5174
Phone
(510) 428-1559
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Andrew BeyersNPI 1548969058
Title
Ceo
Phone
(510) 428-1559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4184 Piedmont Ave Ste C
Oakland, CA 94611-5174

Mailing address

4184 Piedmont Ave Ste C
Oakland, CA 94611-5174
Phone (510) 428-1559

Other names 1

  • Wellspring Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beyers Pharmacy Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1689357659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4184 PIEDMONT AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115174",
            "telephone_number": "510-428-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4184 PIEDMONT AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115174",
            "telephone_number": "510-428-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYERS PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "BEYERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-428-1559"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.