Individual provider Active NPI

Benjamin McLinn

  • Pharmacist
  • Fayetteville, AR
National Provider Identifier
1013528702
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD15064 Issued in AR
Practice address
524 S School Ave
Fayetteville, AR 72701-5957
Phone
(479) 251-7685
NPI assigned
Aug 14, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
PD15064ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Aug 23, 2020 Accepting new patients
Walgreen Co PastSince Aug 23, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD15064 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

524 S School Ave
Fayetteville, AR 72701-5957

Mailing address

524 S School Ave
Fayetteville, AR 72701-5957
Phone (479) 251-7685

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2020.

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1013528702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015957",
            "telephone_number": "479-251-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015957",
            "telephone_number": "479-251-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLINN",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.