Organization Active NPI

Benson Toy

  • Community/Retail Pharmacy
  • San Rafael, CA
National Provider Identifier
1063575694
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY37119 Issued in CA
Legal business name
BENSON TOY
Practice address
750 Las Gallinas Ave
Ste 104
San Rafael, CA 94903-3438
Phone
(415) 479-1930
Fax
(415) 479-0128
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benson Toy, PHARMD AND CCNNPI 1245387562
Title
Owner and Pharm
Phone
(415) 479-1930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY37119 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

750 Las Gallinas Ave
Ste 104
San Rafael, CA 94903-3438

Mailing address

750 Las Gallinas Ave
Ste 104
San Rafael, CA 94903-3438
Phone (415) 479-1930

Other identifiers 2

IdentifierTypeStateIssuer
0522575OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA371190MedicaidCA

Other names 1

  • MARIN MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

750 Las Gallinas Ave
Ste 104
San Rafael, CA 94903
Phone (415) 479-1930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1063575694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE",
            "address_2": "STE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033438",
            "telephone_number": "415-479-1930",
            "fax_number": "415-479-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE",
            "address_2": "STE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033438",
            "telephone_number": "415-479-1930",
            "fax_number": "415-479-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON TOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "TOY",
        "authorized_official_first_name": "BENSON",
        "authorized_official_title_or_position": "OWNER AND PHARM",
        "authorized_official_telephone_number": "415-479-1930",
        "authorized_official_credential": "PHARMD AND CCN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37119",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0522575",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA371190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARIN MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.