Active NPI
Daniel P Becker
- Pharmacist
- Jefferson Valley, NY
National Provider Identifier
1982936100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042848
- Practice address
- 3693 Hill Blvd
Jefferson Valley, NY 10535-1501 - Phone
- (914) 962-6553
- Fax
- (914) 962-6228
- NPI assigned
- Feb 12, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042848 | NY | Primary |
| Pharmacist | 183500000X | PCT9323 | CT | |
| Pharmacist | 183500000X | PS0030024 | FL | |
| Pharmacist | 183500000X | 22392 | MA |
Addresses
Primary practice location
3693 Hill Blvd
Jefferson Valley, NY 10535-1501
Mailing address
3693 Hill Blvd
Jefferson Valley, NY 10535-1501
Phone (914) 962-6553
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 |
|---|---|---|---|
| 042848 | NY | MD | Dentist |
| PCT9323 | CT | MD | Pharmacist |
| PS0030024 | FL | MD | Pharmacist |
| 22392 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Valley Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Jefferson Valley, NY
- NPI 1538153200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1982936100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3693 HILL BLVD",
"city": "JEFFERSON VALLEY",
"state": "NY",
"postal_code": "105351501",
"telephone_number": "914-962-6553",
"fax_number": "914-962-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3693 HILL BLVD",
"city": "JEFFERSON VALLEY",
"state": "NY",
"postal_code": "105351501",
"telephone_number": "914-962-6553",
"fax_number": "914-962-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "DANIEL",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-12",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042848",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT9323",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0030024",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "22392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.