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Beaverton Family Pharmacy LLC

Community/Retail Pharmacy in Beaverton, MI · enumerated 2024 · authorized official John Gross, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194555201

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Registry record

Entity type Organization (Type 2)
Legal business name Beaverton Family Pharmacy LLC
Practice address 3210 W Lang Rd, Beaverton, MI, 48612
Phone (989) 339-9008
Fax (855) 855-4919
Enumeration date Aug 5, 2024
Last updated in NPPES Aug 5, 2024

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name John Gross
Title Owner
Phone (989) 339-9008

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Beaverton Family Pharmacy LLC?
NPPES lists John Gross (Owner) as the authorized official for this organization.
What is the NPI number for Beaverton Family Pharmacy LLC?
The NPI for Beaverton Family Pharmacy LLC is 1194555201, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-05.