Stacey Beckmann

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302033559 Issued in MI

Practice address

4365 Lake Michigan Dr NW
Walker, MI 49534-4544

Phone

(616) 791-1655

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Walker, MI
  • NPI 1891700902
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2011.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1497036792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 APPLEGATE DR NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495347224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 LAKE MICHIGAN DR NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495344544",
            "telephone_number": "616-791-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMANN",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Arnold, PHARMD
• Karen Renee Bakker
• Baruch SLS, Inc.
• Baruch SLS, Inc.
• Baruch SLS, Inc.
• Behavior Analysts of West Michigan, LLC
• Danielle Beissel
• Bergsma Afc LLC
• Andrew Thomas Beuker, O.D.
• Megan Boerema, BCBA

• All providers in Walker, MI
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.