Individual provider Active NPI

William Taylor Benton III, PHARM.D

  • Pharmacist
  • Florala, AL
National Provider Identifier
1114476710
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19504 Issued in AL
Practice address
23355 5TH Ave
Florala, AL 36442-3818
Phone
(334) 858-3291
Fax
(334) 858-5254
NPI assigned
Sep 25, 2016
Last updated
Sep 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19504 AL Primary

Addresses

Primary practice location

23355 5TH Ave
Florala, AL 36442-3818

Mailing address

23355 5TH Ave
Florala, AL 36442-3818
Phone (334) 858-3291

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19504ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474761600000",
    "number": "1114476710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23355 5TH AVE",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423818",
            "telephone_number": "334-858-3291",
            "fax_number": "334-858-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23355 5TH AVE",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423818",
            "telephone_number": "334-858-3291",
            "fax_number": "334-858-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "WILLIAM",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-25",
        "last_updated": "2016-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "19504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florala, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; 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.