Active NPI
Shane Becker
- Pharmacist
- Janesville, WI
National Provider Identifier
1699255950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13485-40
- Practice address
- 3800 Deerfield Dr
Janesville, WI 53546-4448 - Phone
- (608) 754-3030
- NPI assigned
- Aug 16, 2018
- Last updated
- Aug 16, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13485-40 | WI | Primary |
Addresses
Primary practice location
3800 Deerfield Dr
Janesville, WI 53546-4448
Mailing address
2303 W Glenmoor LN
Janesville, WI 53545-9634
Phone (608) 438-3032
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13485-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1699255950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 W GLENMOOR LN",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535459634",
"telephone_number": "608-438-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 DEERFIELD DR",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535464448",
"telephone_number": "608-754-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "SHANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13485-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.