Individual provider Active NPI

Joshua Becco

  • Pharmacist
  • West Allis, WI
National Provider Identifier
1144817081
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20269 Issued in WI
Practice address
10101 W Greenfield Ave Ste 130
West Allis, WI 53214-3953
Phone
(414) 533-6600
NPI assigned
Dec 27, 2020
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20269 WI Primary

Addresses

Primary practice location

10101 W Greenfield Ave Ste 130
West Allis, WI 53214-3953

Mailing address

10101 W Greenfield Ave Ste 130
West Allis, WI 53214-3953
Phone (414) 533-6600

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

State licenses

LicenseStateTypeSpecialty
20269WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Pharmacy LLC CurrentSince Jul 7, 2024 Accepting new patients

Locations

10101 W Greenfield Ave
Ste 130
West Allis, WI 53214
Phone (414) 533-6600

Organizations & group practices 1

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": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1144817081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 W GREENFIELD AVE STE 130",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143953",
            "telephone_number": "414-533-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W GREENFIELD AVE STE 130",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143953",
            "telephone_number": "414-533-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECCO",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-27",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "20269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.