Jacob Lorenzo Becerra, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

I024265 Issued in AZ

Practice address

29660 N Tatum Blvd
Cave Creek, AZ 85331-3350

Phone

(480) 473-0584

NPI assigned

Jun 30, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1144952730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29660 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29660 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313350",
            "telephone_number": "480-473-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "JACOB",
        "middle_name": "LORENZO",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "I024265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "29660 N Tatum Blvd",
            "city": "Cave Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853313350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alice Baker, MSRD LMHC LPC LDN
• Heather Kirsten Ballard, DVM
• Mark A Ballard, M.D.
• Kellie Band, DBH, BCBA, LBA
• BD Cave Creek PLLC
• Michael Thomas Beckham, D.D.S
• Babak Behbahani
• Jennifer K. Billingsley, FNP
• Blue Ribbon Stem LLC
• Laura Border, RN

• Pharmacist in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.