Jodie Becker
Individual provider Active NPI Pharmacist · Sacramento, CA
NPI 1639464530 · NPPES record last updated Jun 20, 2011
Key facts
- NPI
- 1639464530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 65099 (CA)
- Practice address
- 3601 N Freeway Blvd
T2115
Sacramento, CA 95834-2902 - Phone
- (916) 576-0487
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65099 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becker Pharmacy Inc | Current | Accepting new patients | |
| Becker Pharmacy Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65099 | CA | Yes |
Addresses
Primary practice location
3601 N Freeway Blvd
T2115
Sacramento, CA 95834-2902
Mailing address
6533 Filbert Ave
Orangevale, CA 95662-4111
Phone (916) 719-0012
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.