Healthcare Provider Details

I. General information

NPI: 1023395829
Provider Name (Legal Business Name): BEYERS PHARMACY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4184 PIEDMONT AVE STE C
OAKLAND CA
94611-5174
US

IV. Provider business mailing address

4184 PIEDMONT AVE STE C
OAKLAND CA
94611-5174
US

V. Phone/Fax

Practice location:
  • Phone: 510-428-1559
  • Fax: 510-428-1670
Mailing address:
  • Phone: 510-428-1559
  • Fax: 510-428-1670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50814
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BEYERS
Title or Position: PRESIDENT/COO, PIC
Credential: RPH
Phone: 510-428-1559