Active NPI
Robert Wilson Benedict, RPH
- Pharmacist
- Elsah, IL
National Provider Identifier
1043337652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045307
- Practice address
- 11732 Sylvester Dr
Elsah, IL 62028-7020 - Phone
- (618) 802-0802
- NPI assigned
- Mar 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045307 | MO | Primary |
| Pharmacist | 183500000X | 051-290176 | IL |
Addresses
Primary practice location
11732 Sylvester Dr
Elsah, IL 62028-7020
Mailing address
11732 Sylvester Dr
Elsah, IL 62028-7020
Phone (618) 374-2154
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 |
|---|---|---|---|
| 051-290176 | IL | MD | Pharmacist |
| 045307 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1043337652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11732 SYLVESTER DR",
"city": "ELSAH",
"state": "IL",
"postal_code": "620287020",
"telephone_number": "618-374-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11732 SYLVESTER DR",
"city": "ELSAH",
"state": "IL",
"postal_code": "620287020",
"telephone_number": "618-802-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "ROBERT",
"middle_name": "WILSON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "045307",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-290176",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.