Individual provider Active NPI

Becky Fletschock, PHARMD

  • Pharmacist
  • Devils Lake, ND
National Provider Identifier
1770634479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4738 Issued in ND
Practice address
Clinic Pharmacy
1001 7TH St NE
Devils Lake, ND 58301
Phone
(701) 662-4427
Fax
(701) 662-1816
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4738 ND Primary

Addresses

Primary practice location

Clinic Pharmacy
1001 7TH St NE
Devils Lake, ND 58301

Mailing address

202 Ave B E
Anamoose, ND 58710
Phone (701) 465-3082

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
4738NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Pharmacy Inc Current Accepting new patients

Locations

1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157

Organizations & group practices 1

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770634479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 AVE B E",
            "city": "ANAMOOSE",
            "state": "ND",
            "postal_code": "58710",
            "telephone_number": "701-465-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINIC PHARMACY",
            "address_2": "1001 7TH ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "58301",
            "telephone_number": "701-662-4427",
            "fax_number": "701-662-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETSCHOCK",
        "first_name": "BECKY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.