Individual provider Active NPI

Benjamin Carl Parolini, PHARM D.

  • Pharmacist
  • Gustine, CA
National Provider Identifier
1174044663
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45004 Issued in CA
Practice address
397 5TH St
Gustine, CA 95322-1236
Phone
(209) 854-1007
Fax
(209) 854-6768
NPI assigned
Jul 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45004 CA Primary

Addresses

Primary practice location

397 5TH St
Gustine, CA 95322-1236

Mailing address

397 5TH St
Gustine, CA 95322-1236
Phone (209) 854-1007

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
45004CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Pioneer Drug Inc PastSince Jul 24, 2022 Accepting new patients
Newman Pioneer Drug Inc PastSince Jul 24, 2022 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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174044663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 5TH ST",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221236",
            "telephone_number": "209-854-1007",
            "fax_number": "209-854-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 5TH ST",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221236",
            "telephone_number": "209-854-1007",
            "fax_number": "209-854-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAROLINI",
        "first_name": "BENJAMIN",
        "middle_name": "CARL",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gustine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.