Organization Active NPI

Beckett Medical

  • Nursing Facility Supplies (DME)
  • Cincinnati, OH
National Provider Identifier
1720206659
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
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

Updated by the provider on Sep 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0566472MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.