Active NPI
Charles Bruce Benton, RPH
- Pharmacist
- Millsboro, DE
National Provider Identifier
1053686444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0001828
- Practice address
- 26191 John Williams Hwy
Millsboro, DE 19966 - Phone
- (302) 945-6064
- Fax
- (302) 945-5999
- NPI assigned
- Mar 19, 2012
- Last updated
- Mar 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | A1-0001828 | DE | Primary |
Addresses
Primary practice location
26191 John Williams Hwy
Millsboro, DE 19966
Mailing address
34923 Vessel CV
Lewes, DE 19958-2748
Phone (302) 645-8202
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 |
|---|---|---|---|
| A1-0001828 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1053686444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34923 VESSEL CV",
"city": "LEWES",
"state": "DE",
"postal_code": "199582748",
"telephone_number": "302-645-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26191 JOHN WILLIAMS HWY",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "19966",
"telephone_number": "302-945-6064",
"fax_number": "302-945-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "CHARLES",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0001828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millsboro, DE
- Beacon Medical Group, P.a.
- Beebe Medical Center, Inc. (Beebe Home Health Agency)
- Bridget R Beebe, RPA-C
- James Kirkland Beebe, MD
- Benchmark Physical Therapy of Delaware LLC
- Swapna Bhupathi
- Bio-Medical Applications of Delaware Inc. (Fresenius Medical Care Millsboro)
- Philande Laberchie D Bisseng Ntock, MD
- BJ's Wholesale Club Inc.
- Jenna Blackwell, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.