TISCHA BECKER (NPI# 1013291608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013291608 |
| Entity Type | Individual |
| Full Name | TISCHA BECKER |
| Credential | PHARMD, PHC, RPH |
| Practice Address |
111 Coors Blvd Nw Albuquerque NM 87121-2006 |
| Practice Telephone | 5058365322 |
| Mailing Telephone | 5058365322 |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2011-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PC00000190 | NM | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP00007295 | NM | Pharmacy Service Providers |
| Street Address |
111 COORS BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508840554 | Lorraine F Ziegler | Dental Hygienist | 111 Coors Blvd Nw, Suite E1, Albuquerque, NM 87121-2006 | 2005-12-02 |
| 1518579697 | Nestor S Macias Jr. | Pharmacist | 111 Coors Blvd Nw, Albuquerque, NM 87121-2006 | 2020-08-19 |
| 1457786782 | Jc Thomas Lovelace | Pharmacist | 111 Coors Blvd Nw, Albuquerque, NM 87121-2006 | 2013-09-05 |
| 1013224914 | Victoria Ann Fitzgerald | Pharmacist | 111 Coors Blvd Nw, Albuquerque, NM 87121-2006 | 2010-09-13 |
| 1437205887 | Juliet V Smith-edwards | Dentist | 111 Coors Blvd Nw, E-6, Albuquerque, NM 87121-2006 | 2007-01-26 |
| 1447334008 | David Anthony Castillo | Dentist | 111 Coors Blvd Nw, E-6, Albuquerque, NM 87121-2006 | 2006-10-24 |
| 1659473429 | Bradley E Gibbs | Pharmacist | 111 Coors Blvd Nw, Albuquerque, NM 87121-2006 | 2006-09-02 |
| 1083639611 | Smiths Food & Drug Centers Inc | Pharmacy | 111 Coors Blvd Nw, Albuquerque, NM 87121-2006 | 2006-07-13 |
| 1730137217 | Albuquerque West Smiles Youth Dentistry, PC | Dentist | 111 Coors Blvd Nw, E-6, Albuquerque, NM 87121-2006 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1043642200 | Ladonna Marie Bonnin | Pharmacist | Msc09 5080, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-07-30 |
| 1649550526 | Rucha Bond | Pharmacist | Msc 09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-23 |
| 1871871236 | Patricia Marshik | Pharmacist | Msc09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-02 |
| 1417280561 | James L Maestas | Pharmacist | 11421 Paseo Del Oso Ne, Albuquerque, NM 87111-2666 | 2009-09-08 |
| 1457504177 | Thanh-huong Nguyen | Pharmacist | 1909 Sea Foam St Nw, Albuquerque, NM 87120-6245 | 2008-10-25 |
| 1952561250 | Benton Dwight | Pharmacist | 12400 Smokey Mountain Way Ne, Albuquerque, NM 87111-7274 | 2008-06-11 |
| 1427662527 | Amre Elmaoued | Pharmacist | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-09-04 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
Please comment or provide details below to improve the information on TISCHA BECKER.
| 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.