Active NPI
Benjamin Vernon Bright, PHARMD
- Pharmacist
- Peoria, AZ
National Provider Identifier
1124646054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024649
- Practice address
- 9040 W Peoria Ave
Peoria, AZ 85345-6406 - Phone
- (623) 979-2180
- NPI assigned
- Jul 7, 2020
- Sex
- Male
- Sole proprietor
- No
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 | S024649 | AZ | Primary |
Addresses
Primary practice location
9040 W Peoria Ave
Peoria, AZ 85345-6406
Mailing address
8111 W Wacker Rd Unit 125
Peoria, AZ 85381-4948
Phone (623) 694-3083
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
| License | State | Type | Specialty |
|---|---|---|---|
| S024649 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1124646054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 W WACKER RD UNIT 125",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814948",
"telephone_number": "623-694-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 W PEORIA AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456406",
"telephone_number": "623-979-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "BENJAMIN",
"middle_name": "VERNON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.