Belfy Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007951 Issued in MI

Legal business name

BELFY DRUG STORE INC

Practice address

387 N Main St
Watervliet, MI 49098-9795

Phone

(269) 463-3164

Fax

(269) 639-2524

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Soekarmoen, RPH

Title

Owner

Phone

(269) 649-1476

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• MAIN STREET PHARMACY AND GIFTS Doing business as

Locations

Practitioners 2

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

• Jonathon Andrew Covyeou, PHARM D

  • Pharmacist
  • Watervliet, MI
  • NPI 1083720577
  NPD (past)
• Danielle L Melford, PHARMD

  • Pharmacist
  • Watervliet, MI
  • NPI 1750583688
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1821045964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490980097",
            "telephone_number": "269-637-1161",
            "fax_number": "269-639-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 N MAIN ST",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989795",
            "telephone_number": "269-463-3164",
            "fax_number": "269-639-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELFY DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "SOEKARMOEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-649-1476",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1964404",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2320769",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871970152",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET PHARMACY AND GIFTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aff Medical Center LNC
• Alfonso G Llanto MD PC
• Amelia Fajardo Family Medical Clinic PC
• Araceli C Mesiona-Brucal MD PLLC
• Charlene M Baumgartner, P.A.
• Michelle Bendewald
• Sabina J Bett, NP
• Bio-Medical Applications of Michigan, Inc.
• Deborah Ann Breen, PA
• Donald F. Brooks, M.D.

• All providers in Watervliet, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.