Active NPI
Lynn Jorgensen-Benefiel, R.PH.
- Pharmacist
- Texarkana, TX
National Provider Identifier
1104967280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23787
- Practice address
- 1000 Pine St
Pharmacy Department
Texarkana, TX 75501-5100 - Phone
- (903) 798-7044
- Fax
- (903) 798-7043
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23787 | TX | Primary |
Addresses
Primary practice location
1000 Pine St
Pharmacy Department
Texarkana, TX 75501-5100
Mailing address
6402 Prestige LN
Texarkana, TX 75503-0439
Phone (903) 832-7354
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23787 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104967280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6402 PRESTIGE LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030439",
"telephone_number": "903-832-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PINE ST",
"address_2": "PHARMACY DEPARTMENT",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015100",
"telephone_number": "903-798-7044",
"fax_number": "903-798-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN-BENEFIEL",
"first_name": "LYNN",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "23787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.