Active NPI
Larry Eugene Becker
- Pharmacist
- Sisseton, SD
National Provider Identifier
1811537764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4122
- Practice address
- 115 E Maple St
Sisseton, SD 57262-1412 - Phone
- (605) 698-2222
- Fax
- (605) 698-2226
- NPI assigned
- Jan 8, 2020
- Last updated
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 4122 | SD | Primary |
Addresses
Primary practice location
115 E Maple St
Sisseton, SD 57262-1412
Mailing address
12199 455TH Ave
Sisseton, SD 57262-7216
Phone (605) 698-4124
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbecker@lewisdrug.com | Direct |
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 |
|---|---|---|---|
| 4122 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Past | Accepting new patients | |
| Sanford Medical Center | Past | Accepting new patients |
Interoperability endpoints
- lbecker@lewisdrug.com
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.
-
dba Lewis Family Drug #44
- Community/Retail Pharmacy
- Sisseton, SD
- NPI 1780149864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1811537764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12199 455TH AVE",
"city": "SISSETON",
"state": "SD",
"postal_code": "572627216",
"telephone_number": "605-698-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E MAPLE ST",
"city": "SISSETON",
"state": "SD",
"postal_code": "572621412",
"telephone_number": "605-698-2222",
"fax_number": "605-698-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "LARRY",
"middle_name": "EUGENE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4122",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbecker@lewisdrug.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 E Maple St",
"city": "Sisseton",
"state": "SD",
"country_code": "US",
"postal_code": "572621412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.