Reviva Compounding Pharmacy LLC
NPI 1487566279ActiveOrganization· Pharmacy, Compounding Pharmacy· Lincoln Park, MI
Pharmacy, Compounding Pharmacy in Lincoln Park, Michigan, registered in NPPES in September 2026. The authorized official on file is Mary Beydoun, PHARMD, Owner/Pharmacist In Charge.
Overview
| NPI | 1487566279 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2026 |
| Last updated in NPPES | Sep 18, 2026 |
| Certified by provider | Sep 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|