Andra Elena Giallousis
Individual provider Active NPI Pharmacist · Beverly Hills, MI
NPI 1932078995 · NPPES record last updated Oct 30, 2025
Key facts
- NPI
- 1932078995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302415992 (MI)
- Practice address
- 16280 W 13 Mile Rd
Beverly Hills, MI 48025-5647 - Phone
- (833) 754-1260
- NPI assigned
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302415992 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302415992 | MI | Yes |
Addresses
Primary practice location
16280 W 13 Mile Rd
Beverly Hills, MI 48025-5647
Mailing address
16280 W 13 Mile Rd
Beverly Hills, MI 48025-5647
Phone (833) 754-1260
Other providers in Beverly Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.