Individual provider Active NPI

Christoph James Beeler

  • Pharmacy Technician
  • Sparks, NV
National Provider Identifier
1679468656
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PT29831 Issued in NV
Practice address
292 Los Altos Pkwy
Sparks, NV 89436-7708
Phone
(775) 354-0104
NPI assigned
Jun 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PT29831 NV Primary

Addresses

Primary practice location

292 Los Altos Pkwy
Sparks, NV 89436-7708

Mailing address

292 Los Altos Pkwy
Sparks, NV 89436-7708

Other practice location 1

2375 E Prater Way
Sparks, NV 89434-9641
Phone (775) 331-7000

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

State licenses

LicenseStateTypeSpecialty
PT29831NVMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 15, 2025 Accepting new patients
Walgreen Co PastSince Jun 15, 2025 Accepting new patients

Locations

292 Los Altos Pkwy
Sparks, NV 89436
Phone (775) 354-0104

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1679468656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367708",
            "telephone_number": "775-354-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 E Prater Way",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894349641",
            "country_code": "US",
            "telephone_number": "775-331-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEELER",
        "first_name": "CHRISTOPH",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NV",
            "license": "PT29831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.