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BEAVERTON FAMILY PHARMACY LLC
NPI 1053133975
Pharmacy - Long Term Care Pharmacy in Beaverton, MI

Active since October 30, 2024
3210 W LANG RD, BEAVERTON, MI 48612(989) 339-9008 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beaverton Family Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVERTON FAMILY PHARMACY LLC (NPI 1053133975), doing business as Beaverton Family Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Beaverton, Michigan and active in the NPI registry since October 2024. The organization lists John Gross, Owner, as its authorized official.

NPPES Registry Identity

NPI1053133975
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBEAVERTON FAMILY PHARMACY LLC
Location Address3210 W LANG RDBeaverton, MI 48612-8102
Mailing Address11271 Harrison AveFarwell, MI 48622-9439
Phone(989) 339-9008
Organization SubpartNo
Authorized OfficialJohn GrossOwner · (989) 339-9008
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1053133975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
3210 W LANG RD, Beaverton, MI 48612
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Other Names 1

Doing Business AsBeaverton Family Pharmacy Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEAVERTON FAMILY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
3210 W LANG RD
BEAVERTON, MI 48612
Gladwin County (989) 339-9008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaverton Family Pharmacy LLC's NPI number?

The NPI number for Beaverton Family Pharmacy LLC is 1053133975. It was assigned to this organization in the NPPES registry on October 30, 2024. The provider is doing business as Beaverton Family Pharmacy LTC.

Where is Beaverton Family Pharmacy LLC located?

Beaverton Family Pharmacy LLC is located at 3210 W Lang Rd, Beaverton, MI 48612. The listed phone number is (989) 339-9008.

What is Beaverton Family Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Beaverton Family Pharmacy LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 12 other insurers list Beaverton Family Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaverton Family Pharmacy LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.