WILLIAM BEAUMONT HOSPITAL (NPI# 1952717597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952717597 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Other Organization Name | BEAUMONT SPECIALTY PHARMACY |
| Practice Address |
1410 E 14 Mile Rd Madison Heights MI 48071-1541 |
| Practice Telephone | 2488982922 |
| Practice Fax Number | 2488985480 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | CAROLYN WILSON (EVP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9475223326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
5301006222 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006222 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3113106 | 05 | |
| BCBS PROVIDER ID# | 540F30028 | 01 |
| Other Name | Type Code |
|---|---|
| BEAUMONT SPECIALTY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1437600103 | William Beaumont Hospital | Pharmacy | 41965 Ecorse Rd Ste 100, Van Buren Twp, MI 48111-1164 | 2016-10-18 |
| 1881904365 | William Beaumont Hospital | Clinic/Center | 1026 Eleven Mile Road, Royal Oak, MI 48067-5401 | 2010-10-18 |
| 1093974016 | William Beaumont Hospital | Clinic/Center | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2008-06-05 |
| 1962413187 | William Beaumont Hospital | Clinic/Center | 15979 Hall Road, Suite 200, Macomb, MI 48044-5360 | 2006-08-11 |
| 1093744153 | William Beaumont Hospital | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2006-07-01 |
| 1699704700 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 28105 Woodward Ave, Berkley, MI 48072-0910 | 2006-07-01 |
| Street Address |
1410 E 14 MILE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093744153 | William Beaumont Hospital | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2006-07-01 |
| 1851865786 | Beaumont Ashn, LLC | Hospice, Inpatient | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2019-01-14 |
| 1750853933 | Adenike Adeola Kuforiji | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-27 |
| 1588136808 | Michael Dann Panlasigue | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-27 |
| 1770055576 | Karen Elizabeth Fecteau | Speech-Language Pathologist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-19 |
| 1578035366 | Kanchana Malaa Mohanram | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-12-18 |
| 1427528520 | Oluwafemi Fashina | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-11-30 |
| 1407325236 | Ghazala Qasim | Physical Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-11-22 |
| 1083181671 | Kimberly Gadulka | Speech-Language Pathologist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-11-01 |
| 1295201374 | Renea Gailey | Occupational Therapist | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2018-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408246 | Aspop, LLC | Pharmacy | 27351 Dequindre Rd Ste 199, Madison Heights, MI 48071-3487 | 2019-10-15 |
| 1235609249 | Great Health Pharmacy Inc | Pharmacy | 28147 John R Rd, Madison Heights, MI 48071-2810 | 2018-12-03 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1588173777 | Neha Pharmacy Inc | Pharmacy | 30551 Stephenson Hwy Ste 1, Madison Heights, MI 48071-1648 | 2017-09-20 |
| 1124488168 | Ayama Corp | Pharmacy | 26795 John R Road Suite B, Madison Heights, MI 48071 | 2016-03-03 |
| 1205260841 | John R Express Pharmacy PC | Pharmacy | 26100 John R Rd, Madison Heights, MI 48071-3648 | 2013-08-31 |
| 1770642837 | Virginia Cvs Pharmacy L L C | Pharmacy | 4861 Amherst Hwy, Madison Heights, VA 24572-2497 | 2006-12-06 |
| 1538261813 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 31030 John R Rd, Madison Heights, MI 48071 | 2006-09-05 |
| 1457463382 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 27050 John R Rd, Madison Heights, MI 48071-3326 | 2006-08-31 |
| 1932219557 | Costco Wholesale Corporation | Pharmacy | 30550 Stephenson Hwy, Madison Heights, MI 48071 | 2006-08-30 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on WILLIAM BEAUMONT HOSPITAL.
| 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.