NPIMap

Organization Active NPI

Benzer Co 1 LLC

Doing business as Byers Pharmacy

  • Community/Retail Pharmacy
  • Byers, CO
National Provider Identifier
1043317969
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PDO.112000001 Issued in CO
Legal business name
BENZER CO 1 LLC
Doing business as
Benzer Co1 LLC
Byers Pharmacy
Practice address
568 US Hwy 36
Byers, CO 80103
Phone
(303) 822-9371
Fax
(303) 822-9746
NPI assigned
Sep 20, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mr. Siddharth V Patel, RPHNPI 1649540493
Title
Managing Member
Phone
(813) 723-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PDO.112000001 CO Primary

Addresses

Primary practice location

568 US Hwy 36
Byers, CO 80103

Mailing address

568 US Hwy 36
Byers, CO 80103
Phone (303) 822-9371

Other identifiers 1

IdentifierTypeStateIssuer
9000162035MedicaidCO

Other names 2

  • BENZER CO1 LLC Doing business as
  • Byers Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180131002508 CO DME Supplier - Pharmacy 4688934169 Practice locations: Byers, CO
O20180424001240 CO Part B Supplier - Mass Immunization (Roster Biller Only) 4688934169 Practice locations: Byers, CO

National Provider Directory

National Provider Directory
Tax ID family
Benzer Co 1 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1043317969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 US HWY 36",
            "city": "BYERS",
            "state": "CO",
            "postal_code": "80103",
            "telephone_number": "303-822-9371",
            "fax_number": "303-822-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 US HWY 36",
            "city": "BYERS",
            "state": "CO",
            "postal_code": "80103",
            "telephone_number": "303-822-9371",
            "fax_number": "303-822-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZER CO 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SIDDHARTH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-723-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO.112000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162035",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENZER CO1 LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Byers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Byers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byers, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.