Active NPI
Benjamin Randall Collins, PHARMD
- Pharmacist
- Wilmington, NC
National Provider Identifier
1174288906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30976
- Practice address
- 6861 Market St
Wilmington, NC 28405-9724 - Phone
- (910) 793-4924
- NPI assigned
- Nov 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 30976 | NC | Primary |
Addresses
Primary practice location
6861 Market St
Wilmington, NC 28405-9724
Mailing address
612 Ann St
Wilmington, NC 28401-4624
Phone (803) 325-5945
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 |
|---|---|---|---|
| 30976 | NC | MD | Pediatrics Physician |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1174288906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 ANN ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014624",
"telephone_number": "803-325-5945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6861 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284059724",
"telephone_number": "910-793-4924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "BENJAMIN",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Chris Colligan
- Tara June Colligan
- Collin M Le, DDS, PLLC II (Coastal Smiles Family Dentistry at Landfall)
- Collin M. Le, D.D.S, P.L.L.C. (Coastal Smiles Family Dentistry)
- Alayna Collins, PSYD
- Dylan Collins, LCMHC-A
- Maggie Mikayla Collins
- Margaret B Collins, MD
- Melissa Anne Collins, FNP-C
- Rachel Collins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.