Active NPI
Jacqueline Becks, RPH
- Pharmacist
- Bellevue, OH
National Provider Identifier
1801499462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03118977
- Practice address
- 201 W Main St
Bellevue, OH 44811-1331 - Phone
- (419) 483-2455
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- Sex
- Female
- 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 | 03118977 | OH | Primary |
Addresses
Primary practice location
201 W Main St
Bellevue, OH 44811-1331
Mailing address
6280 Township Road 82
Bellevue, OH 44811-9587
Phone (440) 241-7430
Other names 1
- Jacqueline McKenzie
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03118977 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores LLC | Past | Accepting new patients | |
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1801499462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6280 TOWNSHIP ROAD 82",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448119587",
"telephone_number": "440-241-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MAIN ST",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448111331",
"telephone_number": "419-483-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKS",
"first_name": "JACQUELINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03118977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "MCKENZIE",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellevue, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.