Active NPI
Brandon Benson
- Pharmacist
- Jackson, MS
National Provider Identifier
1053812545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-010526
- Practice address
- 1227 N State St Ste 101
Jackson, MS 39202-2002 - Phone
- (601) 974-5518
- NPI assigned
- Feb 21, 2018
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | E-010526 | MS | |
| Pharmacist | 183500000X | E-010526 | MS | Primary |
Addresses
Primary practice location
1227 N State St Ste 101
Jackson, MS 39202-2002
Mailing address
1227 N State St Ste 101
Jackson, MS 39202-2002
Phone (601) 974-5518
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-010526 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1053812545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 N STATE ST STE 101",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022002",
"telephone_number": "601-974-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 N STATE ST STE 101",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022002",
"telephone_number": "601-974-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "MS",
"license": "E-010526",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.