THE BEAVERTON PHARMACY INC (NPI# 1497844047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497844047 |
Entity Type | Organization |
Organization Name | THE BEAVERTON PHARMACY INC |
Other Organization Name | BEAVERTON PHARMACY |
Practice Address |
127 W Brown St Beaverton MI 48612-8119 |
Mailing Address |
Po Box 575 Beaverton MI 48612-0575 |
Practice Telephone | 9894357778 |
Practice Fax Number | 9894352581 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-07-20 |
Authorized Official Name | ROBERT RIFFERT (PHARMACIST PRESIDENT) |
Authorized Official Telephone | 9894357778 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005882 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2042247 | 01 | |
MI | 2933529 | 05 |
Other Name | Type Code |
---|---|
BEAVERTON PHARMACY | Doing Business As Name - Organization |
Street Address |
127 W BROWN ST |
City | BEAVERTON |
State | MI |
Zip Code | 48612-8119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346329448 | Christian Vincent Riffert | Pharmacist | 127 W Brown St, Beaverton, MI 48612-8119 | 2006-11-02 |
1114001781 | Robert Riffert | Pharmacist | 127 W Brown St, Po 575, Beaverton, MI 48612-8119 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457872525 | Candy Rene Simpson | Behavioral Analyst | 385 W Brown St, Beaverton, MI 48612 | 2017-06-29 |
1982975397 | Midmichigan Medical Center Gladwin | Clinic/Center | 439 South Ross Street, Beaverton, MI 48612 | 2012-01-17 |
1477738961 | Dr. Dale J Moser Od | Eyewear Supplier (Equipment, not the service) | 334 N Ross, Beaverton, MI 48612 | 2008-01-03 |
1285186486 | Cheryl Ann Biddinger | Counselor | 201 S Ross St, Beaverton, MI 48612 | 2016-11-04 |
1134276371 | Arlene Lynn Krager | Counselor | 201 S Ross St, Beaverton, MI 48612-8113 | 2007-01-03 |
1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
1760424972 | Richard A Call | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2006-06-12 |
1285182899 | Family Health & Wellness P.C. | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-13 |
1952858987 | Family Health & Wellness PC | Clinic/Center | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-07 |
1649215211 | Beaverton Medical Center P.C. | Family Medicine | 129 W Brown St, Beaverton, MI 48612-8119 | 2006-06-18 |
Find all providers in zip 48612 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.