Beck RX Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50780 Issued in CA

Legal business name

BECK RX PHARMACY, INC.

Practice address

3100 Stockton Blvd
Sacramento, CA 95820-1417

Phone

(916) 736-3188

Fax

(916) 736-2028

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Erick Correy Deeton

Title

President

Phone

(916) 736-3188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MED-AID PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1346513058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201417",
            "telephone_number": "916-736-3188",
            "fax_number": "916-736-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201417",
            "telephone_number": "916-736-3188",
            "fax_number": "916-736-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECK RX PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "DEETON",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "CORREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-736-3188"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100227789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-AID PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MED-AID PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Becht
• Nicole Bechthold
• Hannah Marie Bechtold, MD
• Beck Behavioral Institute
• Beck RX Pharmacy, Inc.
• Alyssa Beck
• Carmen Beck, PH.D., BCBA-D
• Christopher Beck, M.D.
• Ederyn Beck
• Emily Beck

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.