Individual provider Active NPI

Joshua Christopher Benton, PHARMD

  • Pharmacist
  • Weirton, WV
National Provider Identifier
1194016725
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0007156 Issued in WV
Practice address
651 Colliers Way
Suite 204
Weirton, WV 26062-5053
Phone
(304) 723-6331
Fax
(304) 723-1131
NPI assigned
Apr 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0007156 WV Primary

Addresses

Primary practice location

651 Colliers Way
Suite 204
Weirton, WV 26062-5053

Mailing address

4575 State Route 151
Mingo JCT, OH 43938-7931
Phone (304) 723-6331

Other identifiers 1

IdentifierTypeStateIssuer
RP0007156OtherWVPHARMACY LICENSE

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
RP0007156WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304121600000",
    "number": "1194016725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 STATE ROUTE 151",
            "city": "MINGO JCT",
            "state": "OH",
            "postal_code": "439387931",
            "telephone_number": "304-723-6331",
            "fax_number": "304-723-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY",
            "address_2": "SUITE 204",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625053",
            "telephone_number": "304-723-6331",
            "fax_number": "304-723-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "JOSHUA",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-30",
        "last_updated": "2011-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RP0007156",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2011; 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.