Active NPI
Marquitta Becker
- Pharmacy Technician
- Conyers, GA
National Provider Identifier
1235747650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PHTC037270
- Practice address
- 2917 Red Leaf CT
Conyers, GA 30094-8028 - Phone
- (404) 512-3539
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHTC037270 | GA | Primary |
Addresses
Primary practice location
2917 Red Leaf CT
Conyers, GA 30094-8028
Mailing address
2917 Red Leaf CT
Conyers, GA 30094-8028
Phone (404) 512-3539
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHTC037270 | GA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1235747650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 RED LEAF CT",
"city": "CONYERS",
"state": "GA",
"postal_code": "300948028",
"telephone_number": "404-512-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 RED LEAF CT",
"city": "CONYERS",
"state": "GA",
"postal_code": "300948028",
"telephone_number": "404-512-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "MARQUITTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "GA",
"license": "PHTC037270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.