Nassar Beydoun

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302043292 Issued in MI

Practice address

20225 E 9 Mile Rd Ste 120a
Saint Clair Shores, MI 48080-1700

Phone

(313) 999-8560

NPI assigned

Oct 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park Pharmacy SCS LLC

  • Community/Retail Pharmacy
  • Saint Clair Shores, MI
  • NPI 1609309913
  NPD (past) Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1811462849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 CAMPUS DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD STE 120A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801700",
            "telephone_number": "313-999-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "NASSAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Bergin, M.D.
• Beata Bernady-Chochla
• Mark E Bernthal, OD
• Beta Medical Practice PLLC
• Kerri Ann Bewick, D.O.
• Beyond Baby
• Beyoutifully LLC
• Mariam Bezih
• Bharat Patel M.D. PC
• Bi-County Hospitalists PC

• Pharmacist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.