Bewell LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BEWELL LLC

Doing business as

Bewell Pharmacy

Practice address

5346 Madison Ave Ste a
Sacramento, CA 95841-3168

Phone

(916) 800-6004

Fax

(916) 249-1449

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Demitri Dukhovny

Title

Managing Member/Ceo

Phone

(858) 218-3330

Specialties & licenses 1

Addresses

Other names 1

• Bewell Pharmacy Doing business as

Locations

Practitioners 1

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

• Kimberly Muhamach, PHARMD

  • Pharmacist
  • Sacramento, CA
  • NPI 1336681501
  NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1861187833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 MADISON AVE STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413168",
            "telephone_number": "916-800-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 MADISON AVE STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413168",
            "telephone_number": "916-800-6004",
            "fax_number": "916-249-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "DUKHOVNY",
        "authorized_official_first_name": "DEMITRI",
        "authorized_official_title_or_position": "MANAGING MEMBER/CEO",
        "authorized_official_telephone_number": "858-218-3330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bewell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bewell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Joy Bevan, MD
• Christopher Robert Bevens
• Brianne Beverley
• Tyler Bevins, MD
• Jessica Bevzyuk
• Arnaud F Bewley, MD
• Erin Bewley, MD
• Arianne Maelle Bexfield, MD, CPPS
• Hannah Miree Beyer, AA
• Olivia Gwen Beyler

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.