Individual provider Active NPI

John Christopher Bentz, RPH

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1194038497
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13861 Issued in NC
Practice address
4400 Golf Acres Dr
BLDG J, Suite E
Charlotte, NC 28208-5990
Phone
(704) 512-7902
Fax
(704) 512-7630
NPI assigned
Jul 15, 2010
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH03932 RI
Pharmacist 183500000X 13861 NC Primary

Addresses

Primary practice location

4400 Golf Acres Dr
BLDG J, Suite E
Charlotte, NC 28208-5990

Mailing address

4400 Golf Acres Dr
BLDG J, Suite B1
Charlotte, NC 28208
Phone (704) 512-6057

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

LicenseStateTypeSpecialty
RPH03932RIMDPharmacist
13861NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Pharmacy Services, Inc. CurrentSince Oct 23, 2022 Accepting new patients

Locations

4400 Golf Acres Dr
Ste B1
Charlotte, NC 28208
Phone (704) 512-6057

Organizations & group practices 1

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1194038497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 GOLF ACRES DR",
            "address_2": "BLDG J, SUITE B1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "704-512-6057",
            "fax_number": "704-512-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 GOLF ACRES DR",
            "address_2": "BLDG J, SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085990",
            "telephone_number": "704-512-7902",
            "fax_number": "704-512-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH03932",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

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