Active NPI
Steven Becker, R.PH
- Pharmacotherapy Pharmacist
- Fort Wayne, IN
National Provider Identifier
1336550789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26013000A
- Practice address
- 5909 Illinois Rd
Fort Wayne, IN 46804-1159 - Phone
- (260) 434-3933
- Fax
- (260) 434-3965
- NPI assigned
- May 19, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26013000A | IN | Primary |
Addresses
Primary practice location
5909 Illinois Rd
Fort Wayne, IN 46804-1159
Mailing address
5909 Illinois Rd
Fort Wayne, IN 46804-1159
Phone (260) 434-3933
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 |
|---|---|---|---|
| 26013000A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1336550789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 ILLINOIS RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041159",
"telephone_number": "260-434-3933",
"fax_number": "260-434-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 ILLINOIS RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041159",
"telephone_number": "260-434-3933",
"fax_number": "260-434-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26013000A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.