Kelsa Louise Benzing, PHARMD, RPH – Pharmacist

Key facts

NPI: 1053936013
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 26027766A (IN)
Practice address: 4750 E 450 S
Whitestown, IN 46075-8404
Phone: (877) 732-3431
NPI assigned: Jun 15, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Walgreen Co Pharmacy · Indianapolis, IN · NPI 1952316093

NPD (past)
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy, Registered Pharmacist

State licenses

License	State	Type	Specialty
26027766A	IN	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co		Past since Jun 1, 2020	Accepting new patients
Walgreen Co		Past since Jun 1, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	26027766A	IN	Yes

Addresses

Primary practice location

4750 E 450 S
Whitestown, IN 46075-8404

Mailing address

4750 E 450 S
Whitestown, IN 46075-8404

Other names

Kelsa Louise Hernley Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2023.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1053936013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E 450 S",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460758404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E 450 S",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460758404",
            "telephone_number": "877-732-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZING",
        "first_name": "KELSA",
        "middle_name": "LOUISE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26027766A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSA",
            "last_name": "HERNLEY",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitestown, IN

All providers in Whitestown, IN · Pharmacist in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.