OrganizationActive
Beaverton Family Pharmacy LLC
NPI 1194555201 · Community/Retail Pharmacy · Beaverton, MI
Beaverton Family Pharmacy LLC is a Community/Retail Pharmacy organization in Beaverton, MI (NPI 1194555201).
Provider details
- NPI number
- 1194555201
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Gross, Owner(989) 339-9008
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3210 W Lang Rd
Beaverton, MI 48612-8102
Phone: (989) 339-9008
Fax: (855) 855-4919
Street-level locationGet directions
Mailing address
11271 Harrison Ave
Farwell, MI 48622-9439
Other names (DBA / former)
- Doing business as
- Beaverton Family Pharmacy
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-03
Frequently asked questions
- What is Beaverton Family Pharmacy LLC's NPI number?
- Beaverton Family Pharmacy LLC's National Provider Identifier (NPI) is 1194555201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaverton Family Pharmacy LLC?
- Beaverton Family Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Beaverton Family Pharmacy LLC located?
- Beaverton Family Pharmacy LLC's practice location on file with NPPES is 3210 W Lang Rd, Beaverton, MI 48612-8102.
- What is Beaverton Family Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Beaverton Family Pharmacy LLC is (989) 339-9008.
- Who is the authorized official for Beaverton Family Pharmacy LLC?
- The authorized official listed on Beaverton Family Pharmacy LLC's NPPES record is John Gross, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaverton Family Pharmacy LLC's NPI active?
- Yes — Beaverton Family Pharmacy LLC's NPI (1194555201) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.