Active NPI
Beckett Medical
- Nursing Facility Supplies (DME)
- Cincinnati, OH
National Provider Identifier
1720206659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility Supplies (DME)
- Legal business name
- BECKETT MEDICAL
- Practice address
- 9842 Orchard Club Dr
Cincinnati, OH 45242-4458 - Phone
- (513) 891-1533
- Fax
- (513) 891-1533
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey William Buka, RPH
- Title
- Pharmacist
- Phone
- (513) 891-1533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | Primary |
Addresses
Primary practice location
9842 Orchard Club Dr
Cincinnati, OH 45242-4458
Mailing address
9842 Orchard Club Dr
Cincinnati, OH 45242-4458
Phone (513) 891-1533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0566472 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221523200000",
"number": "1720206659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9842 ORCHARD CLUB DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424458",
"telephone_number": "513-891-1533",
"fax_number": "513-891-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9842 ORCHARD CLUB DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424458",
"telephone_number": "513-891-1533",
"fax_number": "513-891-1533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKETT MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2008-09-16",
"status": "A",
"authorized_official_last_name": "BUKA",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "513-891-1533",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0566472",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.