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
- Last updated
- Sep 17, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- Barry Eugene Beavers, D.C.S.W.
- Jennifer Lind Beck Justus, LCSW
- Allison Gale Becker, MSW, LCSW
- Margaret Becker, APRN, FNP-C, IBCLC
- Rhonda Lee Becker, BCBA
- Craig Kline Beckner, LCMHCA
- William Jeremy Beckworth, MD
- Ross Bryan Behuniak, LCMHCA
- Joshua Paul Belanger, CRNA
- Wesley Joseph Bell-Pritzlaff, PT, DPT
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.