Larry Eugene Becker
Individual provider Active NPI Pharmacist · Sisseton, SD
NPI 1811537764 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1811537764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4122 (SD)
- Practice address
- 115 E Maple St
Sisseton, SD 57262-1412 - Phone
- (605) 698-2222
- Fax
- (605) 698-2226
- NPI assigned
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4122 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center | Past |
Accepting new patients | |
| Sanford Health Network | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4122 | SD | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbecker@lewisdrug.com | Direct |
Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.