Active NPI
Kyle J Becker, PHARM.D.
- Oncology Pharmacist
- Fishersville, VA
National Provider Identifier
1386979037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 0202211491
- Practice address
- 57 Beam Lane, Suite 300
Fishersville, VA 22939 - Phone
- (573) 270-9105
- NPI assigned
- Oct 14, 2009
- Last updated
- Sep 11, 2012
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 0202211491 | VA | Primary |
Addresses
Primary practice location
57 Beam Lane, Suite 300
Fishersville, VA 22939
Mailing address
18 Tradewind Circle
Fishersville, VA 22939
Phone (573) 270-9105
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 |
|---|---|---|---|
| 0202211491 | VA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1386979037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 TRADEWIND CIRCLE",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "22939",
"telephone_number": "573-270-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 BEAM LANE, SUITE 300",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "22939",
"telephone_number": "573-270-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "KYLE",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-14",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "VA",
"license": "0202211491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.