BRENT CONRAD BECKNER (NPI# 1316568033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316568033 |
| Entity Type | Individual |
| Full Name | BRENT CONRAD BECKNER |
| Credential | PHARMD |
| Practice Address |
4077 Fifth Ave San Diego CA 92103-2105 |
| Mailing Address |
10061 Rio San Diego Dr Apt 289 San Diego CA 92108-5679 |
| Practice Telephone | 9079571615 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835C0205X |
Pharmacist Specialization: Critical Care |
81567 | CA | Pharmacy Service Providers |
| Street Address |
4077 FIFTH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306808464 | Eric Dahms | Internal Medicine | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2006-04-04 |
| 1528672532 | Orlando Manzano | Nurse Practitioner | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-09-07 |
| 1518570167 | Lindsay Gumm | Social Worker | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-08-24 |
| 1821608811 | Tammy V Pham, M.d., Apc | Obstetrics & Gynecology | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-08-04 |
| 1891310538 | Jordan Ray Noble | Nurse Practitioner | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-06-09 |
| 1861014714 | Merril Lindner | Dietetic Technician, Registered | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-14 |
| 1215559042 | Kevin Kavanagh | Pharmacist | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-14 |
| 1942821525 | Page Staley Hope Moore | Occupational Therapist | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-05 |
| 1306474101 | Kate Hebert Pool | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-03-29 |
| 1568099034 | Kinaan Javed | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 1835C0205X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Critical Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832314 | Sharan Dhoot | Pharmacist | 7901 Frost St, San Diego, CA 92123-2701 | 2020-05-10 |
| 1700426475 | Hali Deprima | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-01-10 |
| 1578111001 | Kevin Box | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-08-28 |
| 1093264954 | Audrey Bushway | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2016-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212706 | Doug Humber | Pharmacist | 9500 Gilman Drive, #0657, Ivy Trailer Room 103, La Jolla, CA 92093-0657 | 2019-12-19 |
| 1871032888 | Ayman Hadi | Pharmacist | 5712 Baltimore Dr Unit 453, La Mesa, CA 91942-1695 | 2017-02-23 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| 1467074732 | Jacob Jay Hass | Pharmacist | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-05-10 |
| 1457984882 | Neeta Bhasin | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-02-13 |
| 1861041782 | Cindy Lau | Pharmacist | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2019-09-04 |
| 1699261180 | Shelby Shabnam Rodef | Pharmacist | 450 Stanyan St, San Francisco, CA 94117-1019 | 2018-07-08 |
| 1982116307 | Kelli Anne Keene | Pharmacist | 9310 Campus Point Dr, La Jolla, CA 92037-1300 | 2017-10-25 |
| 1619425311 | Calvin Huynh | Pharmacist | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2016-09-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.