Organization Active NPI

Benzer Pharmacy Eatonton LLC

Doing business as Hometown Pharmacy Eatonton

  • Community/Retail Pharmacy
  • Eatonton, GA
National Provider Identifier
1003330580
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010369 Issued in GA
Legal business name
BENZER PHARMACY EATONTON LLC
Doing business as
Hometown Pharmacy Eatonton
Practice address
228 N Jefferson Ave
Eatonton, GA 31024-1022
Phone
(706) 816-2879
Fax
(706) 927-9073
NPI assigned
Jul 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert S Stinson
Title
Managing Member
Phone
(678) 521-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE010369 GA Primary

Addresses

Primary practice location

228 N Jefferson Ave
Eatonton, GA 31024-1022

Mailing address

228 N Jefferson Ave
Eatonton, GA 31024-1022
Phone (706) 816-2879

Other names 1

  • Hometown Pharmacy Eatonton Doing business as

National Provider Directory

National Provider Directory

Locations

228 N Jefferson Ave
Eatonton, GA 31024
Phone (706) 816-2879

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003330580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N JEFFERSON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241022",
            "telephone_number": "706-816-2879",
            "fax_number": "706-927-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N JEFFERSON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241022",
            "telephone_number": "706-816-2879",
            "fax_number": "706-927-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZER PHARMACY EATONTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-521-3820"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy Eatonton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.