NPIMap

Organization Active NPI

Belavista Drugs

  • Community/Retail Pharmacy
  • Southgate, MI
National Provider Identifier
1851385348
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008225 Issued in MI
Legal business name
BELAVISTA DRUGS
Practice address
15830 Fort St
Suite 5
Southgate, MI 48195-1367
Phone
(734) 282-1940
Fax
(734) 282-1953
NPI assigned
Sep 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Mr. Jihad H Beydoun, R,PHNPI 1659810323
Title
Registered Pharmacist
Phone
(734) 282-1940

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5301008225 MI
Community/Retail Pharmacy 3336C0003X 5301008225 MI Primary

Addresses

Primary practice location

15830 Fort St
Suite 5
Southgate, MI 48195-1367

Mailing address

15830 Fort St
Suite 5
Southgate, MI 48195-1367
Phone (734) 282-1940

National Provider Directory

National Provider Directory

Locations

15830 Fort St
Ste 5
Southgate, MI 48195
Phone (734) 282-1940

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": "1126310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1851385348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "SUITE 5",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-1940",
            "fax_number": "734-282-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "SUITE 5",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-1940",
            "fax_number": "734-282-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAVISTA DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-10",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "734-282-1940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R,PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301008225",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

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