Active NPI
Timothy John Becker, PHARM.D.
- Pharmacist
- Hendersonville, NC
National Provider Identifier
1033723804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29475
- Practice address
- 601 Spartanburg Hwy
Hendersonville, NC 28792-5762 - Phone
- (828) 692-0761
- NPI assigned
- Aug 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2018033919 | MO | |
| Pharmacist | 183500000X | 29475 | NC | Primary |
Addresses
Primary practice location
601 Spartanburg Hwy
Hendersonville, NC 28792-5762
Mailing address
9495 Mexico Rd
O Fallon, MO 63366-5547
Phone (636) 379-4131
Other practice location 1
9495 Mexico Rd
O Fallon, MO 63366-5547
Phone (636) 379-4131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018033919 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
601 Spartanburg Hwy
Hendersonvlle, NC 28792
Phone (828) 692-0761
Organizations & group practices 2
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.
-
- Pharmacy
- Hendersonville, NC
- NPI 1336472802
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1033723804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9495 MEXICO RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633665547",
"telephone_number": "636-379-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SPARTANBURG HWY",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925762",
"telephone_number": "828-692-0761"
}
],
"practiceLocations": [
{
"address_1": "9495 Mexico Rd",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633665547",
"country_code": "US",
"telephone_number": "636-379-4131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-31",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2018033919",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.