Active NPI
William Beyhan, R.PH.
- Pharmacist
- Aztec, NM
National Provider Identifier
1902020589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00004139
- Practice address
- 415 N Main Ave
Aztec, NM 87410-1927 - Phone
- (505) 334-6261
- Fax
- (505) 334-6853
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00004139 | NM | Primary |
Addresses
Primary practice location
415 N Main Ave
Aztec, NM 87410-1927
Mailing address
415 N Main Ave
Aztec, NM 87410-1927
Phone (505) 334-6261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00004139 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Aztec, NM
- NPI 1568498335
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902020589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N MAIN AVE",
"city": "AZTEC",
"state": "NM",
"postal_code": "874101927",
"telephone_number": "505-334-6261",
"fax_number": "505-334-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N MAIN AVE",
"city": "AZTEC",
"state": "NM",
"postal_code": "874101927",
"telephone_number": "505-334-6261",
"fax_number": "505-334-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYHAN",
"first_name": "WILLIAM",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "PH00004139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aztec, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.