Becks Long Term Care Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

054-018435 Issued in IL

Legal business name

BECKS LONG TERM CARE PHARMACY INC

Practice address

1413 Locust Street
Eldorado, IL 62930

Phone

(618) 273-2612

Fax

(618) 273-5328

NPI assigned

Feb 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jason Vincent Kasiar, R.PH.

Title

Owner

Phone

(618) 273-2612

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205250412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 LOCUST ST.",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "62930",
            "telephone_number": "618-273-2612",
            "fax_number": "618-273-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 LOCUST STREET",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "62930",
            "telephone_number": "618-273-2612",
            "fax_number": "618-273-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKS LONG TERM CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KASIAR",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-273-2612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054-018435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": null,
            "identifier": "054018435",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Michael Basinger, R.PH.
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• Judson Steven Behm, MSW, CRSS, QMHP
• Jasmine Cynthia Marie Berry
• Amber Bethel, LPN
• Michael Anthony Blain, D.O.
• Toni G Boren, RN

• All providers in Eldorado, IL
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.