Active NPI
Stacy Becker, RPH
- Pharmacist
- Martinsburg, WV
National Provider Identifier
1982004834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5750
- Practice address
- 1297 Winchester Ave
Martinsburg, WV 25405 - Phone
- (304) 264-9008
- Fax
- (304) 267-8296
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- 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 | 5750 | WV | Primary |
Addresses
Primary practice location
1297 Winchester Ave
Martinsburg, WV 25405
Mailing address
467 McDonald Dr
Inwood, WV 25428-5310
Phone (304) 264-9008
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 |
|---|---|---|---|
| 5750 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1982004834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 MCDONALD DR",
"city": "INWOOD",
"state": "WV",
"postal_code": "254285310",
"telephone_number": "304-264-9008",
"fax_number": "304-267-8296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 WINCHESTER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25405",
"telephone_number": "304-264-9008",
"fax_number": "304-267-8296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "STACY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "5750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.