Belavista Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007885 Issued in MI

Legal business name

BELAVISTA PHARMACY INC

Practice address

347 Inkster Rd
Inkster, MI 48141-1208

Phone

(313) 563-5300

Fax

(313) 563-5353

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Ali Nassar

Title

President

Phone

(313) 485-1411

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• BELAVISTA PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1831100478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411208",
            "telephone_number": "313-563-5300",
            "fax_number": "313-563-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411208",
            "telephone_number": "313-563-5300",
            "fax_number": "313-563-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAVISTA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-485-1411"
    },
    "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": "5301007885",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2365814",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874667074",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELAVISTA PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genell Fa'Tema-Rochea Banks
• Kennesha Shaijni Barreiro
• Kadejah Batey
• Katie Renee Beckett
• Holly Belasco, LLMSW
• Kywona Danielle Bernard, FNP-BC
• Better U Homes Inc
• Neda I Bhatti, RDH
• Lena Bhim
• Lindsey Neil Bilkey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.