County Pharmacy 2 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COUNTY PHARMACY 2 LLC

Practice address

233 W Carleton Rd
Hillsdale, MI 49242-5033

Phone

(517) 610-5665

Fax

(517) 610-5730

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Mohamed A Beydoun

Title

Owner

Phone

(313) 378-1938

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• County Pharmacy 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1831491869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425033",
            "telephone_number": "517-610-5665",
            "fax_number": "517-610-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425033",
            "telephone_number": "517-610-5665",
            "fax_number": "517-610-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY PHARMACY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-378-1938"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009455",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528670791",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127674",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A Cook, D.O.
• Barbara Ann Corbett, MA, LLP, LMSW
• Samantha Ann Corey, M.A., LPC
• Tyler Cortright, ATC
• County of Hillsdale
• County Pharmacy LLC
• Crystal M Jones MD MPH PLC
• Marisela Cuellar, LLMSW
• Alex Jeffery Culy, PHARMD
• Dan E McCance, D.O.P.C.

• Community/Retail Pharmacy in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.