Active NPI
Emily Ann Beckner, PHARMD
- Pharmacist
- Troutville, VA
National Provider Identifier
1235392002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035381
- Practice address
- 540 Humbert Rd
Troutville, VA 24175-7292 - Phone
- (540) 312-3201
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302035381 | MI | Primary |
Addresses
Primary practice location
540 Humbert Rd
Troutville, VA 24175-7292
Mailing address
540 Humbert Rd
Troutville, VA 24175-7292
Phone (540) 312-3201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202210244 | Other | VA | STATE OF VIRGINIA - BOARD OF PHARMACY |
| 5302035381 | Other | MI | STATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH, BOARD OF PHARMACY |
Other names 1
- Emily Ann Moore
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 |
|---|---|---|---|
| 5302035381 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1235392002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 HUMBERT RD",
"city": "TROUTVILLE",
"state": "VA",
"postal_code": "241757292",
"telephone_number": "540-312-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 HUMBERT RD",
"city": "TROUTVILLE",
"state": "VA",
"postal_code": "241757292",
"telephone_number": "540-312-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKNER",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VIRGINIA - BOARD OF PHARMACY",
"identifier": "0202210244",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH, BOARD OF PHARMACY",
"identifier": "5302035381",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "MOORE",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troutville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.