Steven Keith Beckerdite, P. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

23483 Issued in TX

Practice address

2750 E Mission Blvd
Fayetteville, AR 72703-3262

Phone

(479) 442-2134

Fax

(479) 442-2814

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Fayetteville, AR
  • NPI 1902052285
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1023399466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 N STARR DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012935",
            "telephone_number": "479-442-2134",
            "fax_number": "479-442-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033262",
            "telephone_number": "479-442-2134",
            "fax_number": "479-442-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERDITE",
        "first_name": "STEVEN",
        "middle_name": "KEITH",
        "credential": "P. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR07862",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "23483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ricca Beck, MS, CCC-SLP
• Raven Jewel Beck
• Heather Shanel Becker
• Katherine Becker
• Deborah Pierce Beckerdite, P.D.
• Jonathan Beckham, FNP-C
• Trey Becton, M.D.
• Sarah E Beers, DDS
• Bonni Behrend, PHD, LPC
• Nathaniel Behrents, DDS, MS

• Pharmacist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.