Individual provider Active NPI

Joseph Harrison Benak, PHARMD

  • Pharmacist
  • Slocomb, AL
National Provider Identifier
1124644463
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20482 Issued in AL
Practice address
141 S Dalton St
Slocomb, AL 36375-5483
Phone
(334) 886-2442
NPI assigned
Jun 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20482 AL Primary

Addresses

Primary practice location

141 S Dalton St
Slocomb, AL 36375-5483

Mailing address

224 Folsom Rd
Dothan, AL 36301-4976
Phone (334) 701-0533

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
20482ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Drug Company Inc PastSince Jun 28, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1124644463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 FOLSOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014976",
            "telephone_number": "334-701-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S DALTON ST",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363755483",
            "telephone_number": "334-886-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAK",
        "first_name": "JOSEPH",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "20482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slocomb, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.