Telene Darice Bettcher, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

12739 Issued in WI

Practice address

2700 W 9TH Ave
Suite 108
Oshkosh, WI 54904-7247

Phone

(920) 236-1430

Fax

(920) 236-1435

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Telene Darice Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1861670945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 108",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "920-236-1430",
            "fax_number": "920-236-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 108",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "920-236-1430",
            "fax_number": "920-236-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTCHER",
        "first_name": "TELENE",
        "middle_name": "DARICE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TELENE",
            "last_name": "SMITH",
            "middle_name": "DARICE",
            "credential": "PHARMACIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Jean Berndt, M.S., OTR
• Robert L Bernstein, MD
• Barbara A Berres, PT
• Caden Berry
• Bethel Home, Inc.
• Danielle Bettine
• Abigail Beyer, RBT
• Srinivas Bhadriraju, M.D.
• Cole Biechler, CRNA
• Jessica Anne Bielmeier, FNP-C

• All providers in Oshkosh, WI
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.