Active NPI
Benton Coiley Strain, RPH
- Pharmacist
- Clinton, MS
National Provider Identifier
1164792503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-05971
- Practice address
- 204 Highway 80 E
Clinton, MS 39056-4716 - Phone
- (601) 926-1179
- Fax
- (601) 926-1234
- NPI assigned
- Jan 3, 2012
- Last updated
- Jan 3, 2012
- 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 | E-05971 | MS | Primary |
Addresses
Primary practice location
204 Highway 80 E
Clinton, MS 39056-4716
Mailing address
107 St Regis Dr
Madison, MS 39110-7939
Phone (601) 270-8536
Other names 1
- Benton Coiley Strain
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 |
|---|---|---|---|
| E-05971 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1164792503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ST REGIS DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391107939",
"telephone_number": "601-270-8536",
"fax_number": "601-926-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 HIGHWAY 80 E",
"city": "CLINTON",
"state": "MS",
"postal_code": "390564716",
"telephone_number": "601-926-1179",
"fax_number": "601-926-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAIN",
"first_name": "BENTON",
"middle_name": "COILEY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-05971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BENTON",
"last_name": "STRAIN",
"middle_name": "COILEY",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.