Provider Demographics
NPI:1235392002
Name:BECKNER, EMILY ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANN
Last Name:BECKNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:540 HUMBERT RD
Mailing Address - Street 2:
Mailing Address - City:TROUTVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24175-7292
Mailing Address - Country:US
Mailing Address - Phone:540-312-3201
Mailing Address - Fax:
Practice Address - Street 1:540 HUMBERT RD
Practice Address - Street 2:
Practice Address - City:TROUTVILLE
Practice Address - State:VA
Practice Address - Zip Code:24175-7292
Practice Address - Country:US
Practice Address - Phone:540-312-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202210244OtherSTATE OF VIRGINIA - BOARD OF PHARMACY
MI5302035381OtherSTATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH, BOARD OF PHARMACY