Active NPI
Alfred Bennin, RPH
- Pharmacist
- Stoughton, WI
National Provider Identifier
1053693028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7481-40
- Practice address
- 1705 US Hwy 51/138
Stoughton, WI 53589 - Phone
- (608) 873-7612
- NPI assigned
- Sep 15, 2011
- Last updated
- Mar 1, 2012
- 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 | 7481-40 | WI | Primary |
Addresses
Primary practice location
1705 US Hwy 51/138
Stoughton, WI 53589
Mailing address
1705 US Hwy 51/138
Stoughton, WI 53589
Phone (608) 873-7612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7481-40 | Other | WI | LICENSED PHARMACIST |
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 |
|---|---|---|---|
| 7481-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1053693028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 US HWY 51/138",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "53589",
"telephone_number": "608-873-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 US HWY 51/138",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "53589",
"telephone_number": "608-873-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNIN",
"first_name": "ALFRED",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "7481-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PHARMACIST",
"identifier": "7481-40",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.