Active NPI
Joan Marie Rider-Becker, PHARMD/CDE
- Pharmacotherapy Pharmacist
- Ada, MI
National Provider Identifier
1427220391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302410902
- Practice address
- 6745 Fulton St E
Ada, MI 49301-8107 - Phone
- (616) 682-9100
- Fax
- (616) 682-9400
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 5302410902 | MI | Primary |
Addresses
Primary practice location
6745 Fulton St E
Ada, MI 49301-8107
Mailing address
2643 Lenwood LN NE
Grand Rapids, MI 49525-3980
Phone (616) 363-3222
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 |
|---|---|---|---|
| 5302410902 | MI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1427220391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2643 LENWOOD LN NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495253980",
"telephone_number": "616-363-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6745 FULTON ST E",
"city": "ADA",
"state": "MI",
"postal_code": "493018107",
"telephone_number": "616-682-9100",
"fax_number": "616-682-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER-BECKER",
"first_name": "JOAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD/CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302410902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.