Active NPI
Deborah Ann Beckham, RPH
- Pharmacist
- Enterprise, AL
National Provider Identifier
1336486299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10014
- Practice address
- 847 Boll Weevil Cir
Suite 112
Enterprise, AL 36330-2472 - Phone
- (334) 348-1526
- Fax
- (334) 348-1578
- NPI assigned
- Jan 12, 2013
- Last updated
- Jan 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10014 | AL | Primary |
| Pharmacist | 183500000X | PS21143 | FL |
Addresses
Primary practice location
847 Boll Weevil Cir
Suite 112
Enterprise, AL 36330-2472
Mailing address
847 Boll Weevil Cir
Suite 112
Enterprise, AL 36330-2472
Phone (334) 348-1526
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10014 | AL | MD | Pharmacist |
| PS21143 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357948800000",
"number": "1336486299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 BOLL WEEVIL CIR",
"address_2": "SUITE 112",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302472",
"telephone_number": "334-348-1526",
"fax_number": "334-348-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 BOLL WEEVIL CIR",
"address_2": "SUITE 112",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302472",
"telephone_number": "334-348-1526",
"fax_number": "334-348-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKHAM",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-12",
"last_updated": "2013-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10014",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS21143",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.