Donald Thomas Beckwith, PHARMD

Individual provider Active NPI Pharmacist · Paradise, CA

NPI 1184090987 · NPPES record last updated Jan 23, 2016

Key facts

NPI
1184090987
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
74386 (CA)
Practice address
6020 Clark Rd
Paradise, CA 95969-4152
Phone
(530) 877-7001
Fax
(530) 877-2740
NPI assigned
Aug 15, 2015
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
74386CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74386 CA Yes

Addresses

Primary practice location

6020 Clark Rd
Paradise, CA 95969-4152

Mailing address

6020 Clark Rd
Paradise, CA 95969-4152
Phone (530) 877-7001

Other providers in Paradise, CA

All providers in Paradise, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.