Active NPI
Benjamin E Ezekiel, R.PH
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1013314897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14620-040
- Practice address
- 2355 N 35TH St
Milwaukee, WI 53210-3033 - Phone
- (414) 447-8117
- Fax
- (414) 447-8365
- NPI assigned
- Nov 23, 2014
- Last updated
- Nov 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14620-040 | WI | Primary |
Addresses
Primary practice location
2355 N 35TH St
Milwaukee, WI 53210-3033
Mailing address
2355 N 35TH St
Milwaukee, WI 53210-3033
Phone (414) 447-8117
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14620-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy 2 U LLC | Current | Accepting new patients | |
| Life Tree Pharmacy LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Milwaukee, WI
- NPI 1649706714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416700800000",
"number": "1013314897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 N 35TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532103033",
"telephone_number": "414-447-8117",
"fax_number": "414-447-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 N 35TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532103033",
"telephone_number": "414-447-8117",
"fax_number": "414-447-8365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEKIEL",
"first_name": "BENJAMIN",
"middle_name": "E",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-23",
"last_updated": "2014-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14620-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.