Prabhjot Benipal, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

78887 Issued in CA

Practice address

4601 2ND St
Davis, CA 95618-9446

Phone

(530) 761-0127

NPI assigned

Dec 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1225509649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 MARSH CREEK WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584644",
            "telephone_number": "916-230-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 2ND ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189446",
            "telephone_number": "530-761-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIPAL",
        "first_name": "PRABHJOT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "78887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE PHARMACIST LICENSE",
            "identifier": "78887",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Jill Bell, MPH, DPM
• Henry James Bell
• Bella Wound Care Medical Corporation, P.C. (Bella Wound Care)
• Mary Bellocci
• Lori Ann Benedict, RN
• Henry Bennett, DDS
• Christine Hunter Bennetts, LCSW
• Ronny Jean Berg, R.N.
• Jack E. Berger, MD
• Katherine Berghoef, MSW

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Davis, CA
• Providers in Davis, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.