This Rabit Hole keeps getting deeper and deeper. lol
The information for the Organization you selected is displayed. The NPI Registry data was last updated on 07/01/2014.
NOTE: Some health care providers reported SSN or IRS ITIN information in sections of the NPI application that contain information that is required to be disclosed under FOIA. For example, an incorporated individual may have reported an SSN as the EIN of the corporation. To protect the privacy of this individual, we have temporarily suppressed the EIN, and we have made every attempt to locate and remove SSN and IRS ITIN information from being displayed in any of the other information provided below.
Organization Information:
Organization Name (LBN): BEACON HILL MEDICAL PHARMACY PC
Doing Business As(DBA): BEACON HILL MEDICAL PHARMACY
EIN: <temporarily suppressed>
Organization Subpart: NO
Authorized Official Information:
Name: SAM ALAWIEH
Title/Position: PRESIDENT
Phone Number: 2485305769
NPI Information:
NPI: 1386972859
Entity Type: 2-ORGANIZATION
Enumeration Date: 11/22/2009
Last Update Date: 03/21/2014
Replacement NPI:
Deactivation Date:
Reactivation Date:
Provider Business Mailing Address:
Address: 29235 STEPHENSON HWY SUITE 200
MADISON HEIGHTS, MI 48071-2300
Phone Number: 2484191775
Fax Number: 2484191788
Provider Business Practice Location Address:
Address: 18161 W 13 MILE RD SUITE A1-A
SOUTHFIELD, MI 48076-1113
Phone Number: 2484191775
Fax Number: 2484191788
Organization Taxonomy:
Primary Taxonomy
Selected Taxonomy
State
License Number
YES 333600000X - PHARMACY MI 5301009247
NO 3336C0002X - PHARMACY - CLINIC PHARMACY
NO 3336C0003X - PHARMACY - COMMUNITY/RETAIL PHARMACY
NO 3336S0011X - PHARMACY - SPECIALTY PHARMACY
Taxonomy Code Detail
3336S0011X : Specialty Pharmacy
3336S0011X : Specialty Pharmacy
3336S0011X Specialty Pharmacy (Active)
Specialty Pharmacy
Level III Area of Specialization
A more specialized area of the Classification in which a provider chooses to practice or make services available. For example, the Area of Specialization for provider type Allopathic & Osteopathic Physicians is based upon the Subspecialty Certificates as issued by the appropriate national boards.
Description
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening.
Often these therapies require specialized delivery and administration.
Additional Information
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]
The information for the Organization you selected is displayed. The NPI Registry data was last updated on 07/01/2014.
NOTE: Some health care providers reported SSN or IRS ITIN information in sections of the NPI application that contain information that is required to be disclosed under FOIA. For example, an incorporated individual may have reported an SSN as the EIN of the corporation. To protect the privacy of this individual, we have temporarily suppressed the EIN, and we have made every attempt to locate and remove SSN and IRS ITIN information from being displayed in any of the other information provided below.
Organization Information:
Organization Name (LBN): BEACON HILL MEDICAL PHARMACY PC
Doing Business As(DBA): BEACON HILL MEDICAL PHARMACY
EIN: <temporarily suppressed>
Organization Subpart: NO
Authorized Official Information:
Name: SAM ALAWIEH
Title/Position: PRESIDENT
Phone Number: 2485305769
NPI Information:
NPI: 1386972859
Entity Type: 2-ORGANIZATION
Enumeration Date: 11/22/2009
Last Update Date: 03/21/2014
Replacement NPI:
Deactivation Date:
Reactivation Date:
Provider Business Mailing Address:
Address: 29235 STEPHENSON HWY SUITE 200
MADISON HEIGHTS, MI 48071-2300
Phone Number: 2484191775
Fax Number: 2484191788
Provider Business Practice Location Address:
Address: 18161 W 13 MILE RD SUITE A1-A
SOUTHFIELD, MI 48076-1113
Phone Number: 2484191775
Fax Number: 2484191788
Organization Taxonomy:
Primary Taxonomy
Selected Taxonomy
State
License Number
YES 333600000X - PHARMACY MI 5301009247
NO 3336C0002X - PHARMACY - CLINIC PHARMACY
NO 3336C0003X - PHARMACY - COMMUNITY/RETAIL PHARMACY
NO 3336S0011X - PHARMACY - SPECIALTY PHARMACY
Taxonomy Code Detail
3336S0011X : Specialty Pharmacy
3336S0011X : Specialty Pharmacy
3336S0011X Specialty Pharmacy (Active)
Specialty Pharmacy
Level III Area of Specialization
A more specialized area of the Classification in which a provider chooses to practice or make services available. For example, the Area of Specialization for provider type Allopathic & Osteopathic Physicians is based upon the Subspecialty Certificates as issued by the appropriate national boards.
Description
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening.
Often these therapies require specialized delivery and administration.
Additional Information
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]
