Benjamin T Nyboer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26024541A Issued in IN

Practice address

4461 Hickory Ridge Blvd
Greenwood, IN 46143-7455

Phone

(860) 907-0640

NPI assigned

Nov 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ben Nyboer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1083250138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 HICKORY RIDGE BLVD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437455",
            "telephone_number": "812-219-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 HICKORY RIDGE BLVD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437455",
            "telephone_number": "860-907-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBOER",
        "first_name": "BENJAMIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26024541A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "NYBOER",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nulife Greenwood LLC (Nulife Behavioral Health)
• Brenda Nussbaum
• Timothy J Nussbaum, MD
• Aminat Nwaonumah, DRPH, RBT
• Chinonso Nwosu, PHARMACIST
• Jordan Richard O'Barski, DNP, FNP-C
• Alison O'Brien, PNP-PC
• Elizabeth O'Brien
• Breona O'Connor
• Kenneth Patrick O'Connor, PA-C

• Pharmacist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.