Organization Active NPI

Benzene Khemikals

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1093202046
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH030879 Issued in NV
Legal business name
BENZENE KHEMIKALS
Practice address
3050 E Bonanza Rd Ste 160
Las Vegas, NV 89101-3707
Phone
(702) 778-8087
Fax
(702) 675-3984
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Bobby BensonNPI 1114149507
Title
Pharmacy Manager
Phone
(702) 528-5336

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH030879 NV Primary

Addresses

Primary practice location

3050 E Bonanza Rd Ste 160
Las Vegas, NV 89101-3707

Mailing address

3050 E Bonanza Rd
Suite 160
Las Vegas, NV 89101-3703
Phone (702) 778-8087

Other identifiers 2

IdentifierTypeStateIssuer
2177368OtherPK
1093202046MedicaidNV

Other names 1

  • Belmont Pharmacy Other name

National Provider Directory

National Provider Directory

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": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1093202046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 E BONANZA RD",
            "address_2": "SUITE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013703",
            "telephone_number": "702-778-8087",
            "fax_number": "702-675-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E BONANZA RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013707",
            "telephone_number": "702-778-8087",
            "fax_number": "702-675-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZENE KHEMIKALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "702-528-5336"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH030879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177368",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093202046",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Belmont Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.